Provider Demographics
NPI:1811170525
Name:INTERNAL MEDICINE ASSOCIATES OF LOUISVILLE, PLLC
Entity type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF LOUISVILLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAFEEQ
Authorized Official - Middle Name:TAUFIQUE
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-291-4267
Mailing Address - Street 1:3800 ZARING MILL CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-3036
Mailing Address - Country:US
Mailing Address - Phone:502-290-8025
Mailing Address - Fax:
Practice Address - Street 1:3800 ZARING MILL CIR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-3036
Practice Address - Country:US
Practice Address - Phone:502-290-8025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty