Provider Demographics
NPI:1740231687
Name:FURMAN, CHRISTIAN DAVIS (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:DAVIS
Last Name:FURMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E BROADWAY
Mailing Address - Street 2:SUITE 290
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1785
Mailing Address - Country:US
Mailing Address - Phone:502-217-5134
Mailing Address - Fax:502-217-5056
Practice Address - Street 1:215 CENTRAL AVE
Practice Address - Street 2:102
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40208-1418
Practice Address - Country:US
Practice Address - Phone:502-852-7449
Practice Address - Fax:502-852-1423
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32994207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200280420Medicaid
KY64014749Medicaid
KYH12643Medicare UPIN
KY64014749Medicaid
KY0631277Medicare PIN
KY0048472Medicare PIN
KY0766157Medicare PIN
KY1271225Medicare PIN
KY0601225Medicare PIN