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NPI Code Detail

MEDICARE: DR. JUDITH MOHAY AMBRUS M.D.

MEDICARE: DR. JUDITH MOHAY AMBRUS 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
1207W00000XOphthalmology Physician34273KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31116689OTHERKYPASSPORT

General Provider Information

NPI Number : 1700817905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH MOHAY AMBRUS M.D.
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : LOUISVILLE
State : KY
Zip : 40201-0909
Country : US
Telephone Number : 502-852-5466
Fax Number : 502-852-4947
Provider Business Practice Location Address
First Line : 301 E MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1511
Country : US
Telephone Number : 502-852-5466
Fax Number : 502-852-4947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/22/2015

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