Healthcare Provider Details

I. General information

NPI: 1952826976
Provider Name (Legal Business Name): MUHAMMAD UMAIR SEYAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 DIXIE HWY STE 110
LOUISVILLE KY
40216-2986
US

IV. Provider business mailing address

465 N 26TH ST
LOUISVILLE KY
40212-1449
US

V. Phone/Fax

Practice location:
  • Phone: 502-447-3323
  • Fax:
Mailing address:
  • Phone: 502-303-5998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10024
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: