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NPI Code Detail

MEDICARE: DR. ROSEMARY OUSEPH MD

MEDICARE: DR. ROSEMARY OUSEPH 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
1207RN0300XNephrology Physician30767KY

Other Identifiers

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

General Provider Information

NPI Number : 1740261783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSEMARY OUSEPH MD
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : LOUISVILLE
State : KY
Zip : 40201-0909
Country : US
Telephone Number : 502-588-4709
Fax Number :
Provider Business Practice Location Address
First Line : 615 S PRESTON ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1715
Country : US
Telephone Number : 502-852-5757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 12/02/2020

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