Provider Demographics
NPI:1033215520
Name:TUVLIN, JEFFREY A (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:TUVLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3913
Mailing Address - Country:US
Mailing Address - Phone:502-895-8970
Mailing Address - Fax:502-895-8971
Practice Address - Street 1:3920 DUTCHMANS LN
Practice Address - Street 2:SUITE 310
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4702
Practice Address - Country:US
Practice Address - Phone:502-895-8970
Practice Address - Fax:502-895-8971
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2019-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY39104207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64079734Medicaid
KYP00693370Medicare PIN
KY64079734Medicaid
KY00546209Medicare Oscar/Certification