Provider Demographics
NPI:1285037812
Name:HISHAM A ALREFAI MD PSC
Entity Type:Organization
Organization Name:HISHAM A ALREFAI MD PSC
Other - Org Name:ENDOCRINE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALREFAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-895-8218
Mailing Address - Street 1:9720 PARK PLAZA AVE UNIT 104
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2289
Mailing Address - Country:US
Mailing Address - Phone:502-895-8218
Mailing Address - Fax:502-895-8219
Practice Address - Street 1:9720 PARK PLAZA AVE UNIT 104
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2289
Practice Address - Country:US
Practice Address - Phone:502-895-8218
Practice Address - Fax:502-895-8219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty