Provider Demographics
NPI:1669858619
Name:PRIVATUS MEDICAL PLLC
Entity Type:Organization
Organization Name:PRIVATUS MEDICAL PLLC
Other - Org Name:PRIVATUSMD & PRIVATUSNP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-905-2183
Mailing Address - Street 1:3120 RUNNYMEDE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-6144
Mailing Address - Country:US
Mailing Address - Phone:502-657-1076
Mailing Address - Fax:888-959-2460
Practice Address - Street 1:3120 RUNNYMEDE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-6144
Practice Address - Country:US
Practice Address - Phone:502-657-1076
Practice Address - Fax:888-959-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty