=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912272196
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AALAP MAJMUDAR M.D.,
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2012
-----------------------------------------------------
Last Update Date | 08/06/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 312 S 4TH ST STE 700
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40202-3046
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-804-5495
-----------------------------------------------------
Fax | 833-563-1715
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 57 W 57TH ST FL 4
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10019-2827
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-804-5495
-----------------------------------------------------
Fax | 833-563-1715
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 282895
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number | 47770
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 47770
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------