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NPI Code Detail

MEDICARE: DR. THOMAS J HAAS M.D.

MEDICARE:  DR. THOMAS J HAAS  M.D.
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
1174400000XSpecialist27457KY

General Provider Information

NPI Number : 1194860189
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J HAAS M.D.
Provider Business Mailing Address
First Line : 7501 NEW LAGRANGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-4815
Country : US
Telephone Number : 502-894-8595
Fax Number : 502-893-1636
Provider Business Practice Location Address
First Line : 7501 NEW LAGRANGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-4815
Country : US
Telephone Number : 502-894-8595
Fax Number : 502-893-1636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/08/2007

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