| Michelle Aboud Internal Medicine Pllc | |
|
710 Breckenridge Lane Suite 202 Louisville KY 40207 | |
| (502) 473-8065 | |
| (502) 473-8066 |
| Full Name | Michelle Aboud Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Breckenridge Lane, Louisville, Kentucky |
| Authorized Official Name and Position | Michelle Aboud (OWNER) |
| Authorized Official Contact | 5024738065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Aboud Internal Medicine Pllc 710 Breckenridge Lane Suite 202 Louisville KY 40207 Ph: (502) 473-8065 | Michelle Aboud Internal Medicine Pllc 710 Breckenridge Lane Suite 202 Louisville KY 40207 Ph: (502) 473-8065 |
| NPI Number | 1710218722 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 05/02/2022 |
| Medicare PECOS PAC ID | 4789715137 |
|---|---|
| Medicare Enrollment ID | O20100628001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710218722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35948 (Kentucky) | Primary |
| Provider Name | Michelle J Aboud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891709515 PECOS PAC ID: 2961575410 Enrollment ID: I20080717000173 |
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