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NPI Code Detail

MEDICARE: SANDA B COHEN MD

MEDICARE: SANDA B COHEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician23374KY

General Provider Information

NPI Number : 1427142652
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDA B COHEN MD
Provider Business Mailing Address
First Line : 5721 BARDSTOWN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40291-1913
Country : US
Telephone Number : 502-231-1144
Fax Number : 502-231-1508
Provider Business Practice Location Address
First Line : 5721 BARDSTOWN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40291-1913
Country : US
Telephone Number : 502-231-1144
Fax Number : 502-231-1508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/01/2017

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Directions to “ SANDA B COHEN MD” Practice Location

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