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NPI Code Detail

MEDICARE: TAMIKA M BURRUS MD

MEDICARE: TAMIKA M BURRUS 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
12084N0400XNeurology PhysicianA110775CA
22084N0400XNeurology Physician63324WI
32084V0102XVascular Neurology Physician57388KY

General Provider Information

NPI Number : 1447457353
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMIKA M BURRUS MD
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : LOUISVILLE
State : KY
Zip : 60677-6351
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 4915 NORTON HEALTHCARE BLVD STE 301
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2866
Country : US
Telephone Number : 502-394-6460
Fax Number : 502-394-6465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 06/19/2025

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Directions to “ TAMIKA M BURRUS MD” Practice Location

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