Provider Demographics
NPI:1114009719
Name:KASTAN, LOUIS BERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:BERMAN
Last Name:KASTAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 ZORN AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1420
Mailing Address - Country:US
Mailing Address - Phone:502-897-1900
Mailing Address - Fax:502-893-4241
Practice Address - Street 1:605 ZORN AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1420
Practice Address - Country:US
Practice Address - Phone:502-897-1900
Practice Address - Fax:502-893-4241
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology