Kurbasic, Mirzada P

Kurbasic, Mirzada P is an individual health care provider with primary practice located at 555 S Floyd St , Louisville KY 40202-3822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kurbasic, Mirzada P can be contacted via phone (502) 588-3440.

Contact Information

Primary practice address
555 S Floyd St Louisville KY 40202-3822
Fax: (502) 588-3441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32906 Kentucky

Profile Details

NPI number 1730163270
LBN Legal business name Kurbasic, Mirzada P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730163270 NPPES
Kentucky MEDICAID 64329063
Kentucky MEDICAID 200155590

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