Provider Demographics
NPI:1093704082
Name:NEMETH, GABOR G (MD)
Entity Type:Individual
Prefix:DR
First Name:GABOR
Middle Name:G
Last Name:NEMETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4139 CADILLAC CT
Mailing Address - Street 2:STE. 200
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1578
Mailing Address - Country:US
Mailing Address - Phone:502-473-4835
Mailing Address - Fax:502-473-4836
Practice Address - Street 1:4139 CADILLAC CT
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1578
Practice Address - Country:US
Practice Address - Phone:502-473-4835
Practice Address - Fax:502-473-4836
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY31581207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64315815Medicaid
KY0596601Medicare PIN
KY0718601Medicare PIN
F23597Medicare UPIN
KY0596601Medicare PIN
KY0718601Medicare ID - Type Unspecified