Healthcare Provider Details

I. General information

NPI: 1225016983
Provider Name (Legal Business Name): JULIO RAMIREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E BROADWAY #120
LOUISVILLE KY
40202-1785
US

IV. Provider business mailing address

501 E BROADWAY #120
LOUISVILLE KY
40202-1785
US

V. Phone/Fax

Practice location:
  • Phone: 502-589-4856
  • Fax: 502-584-5093
Mailing address:
  • Phone: 502-589-4856
  • Fax: 502-584-5093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number25052
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: