Provider Demographics
NPI:1922169465
Name:TALPUR, NADEEM A (MD)
Entity Type:Individual
Prefix:
First Name:NADEEM
Middle Name:A
Last Name:TALPUR
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:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:STE 1003
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3906
Practice Address - Country:US
Practice Address - Phone:502-629-2602
Practice Address - Fax:502-629-2603
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY426652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000057058DOtherHUMANA - NNS
KY3160546OtherCIGNA - NNS
KY000000693360OtherANTHEM - NNS
KY119125OtherSIHO - NNS
IN201040800Medicaid
KY50030757OtherPASSPORT/PASSPORT ADVTG - NNS
KY7100072690Medicaid
KYP00893051OtherRAILROAD MEDICARE
KY50030757OtherPASSPORT/PASSPORT ADVTG - NNS
KY119125OtherSIHO - NNS
KYP400031509Medicare PIN