Provider Demographics
NPI:1578555942
Name:PIRACHA, AMIR (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:PIRACHA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-581-1951
Mailing Address - Fax:502-540-5137
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 1101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3841
Practice Address - Country:US
Practice Address - Phone:502-581-1951
Practice Address - Fax:502-540-5137
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2018-03-01
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Provider Licenses
StateLicense IDTaxonomies
KY37454207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64056682Medicaid
KYH69540Medicare UPIN
KYP00391790Medicare PIN
KY00546100Medicare Oscar/Certification