Juan Gustavo Polo in Louisville - Internal Medicine
Juan Gustavo Polo - NPI 1952399669
Juan Gustavo Polo is a Internal Medicine in Louisville, Kentucky. Juan Gustavo Polo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Juan Gustavo Polo is 1952399669. The last update date is 2014-02-13.
Juan Gustavo Polo's current location address is 234 E Gray St, Louisville, Kentucky. You can contact this provider via phone number 5026294525 and fax number 5026294529. The mailing address for Juan Gustavo Polo is 234 E Gray St, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Gustavo Polo |
|---|---|
| Address | 234 E Gray St, Louisville, Kentucky |
| Phone Number | 5026294525 |
| Fax Number | 5026294529 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952399669 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2014-02-13 |
Provider Mailing Address Detail
| Address | 234 E Gray St |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402021900 |
| Phone Number | 5026294525 |
| Fax Number | 5026294529 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36067 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200489040 | IN | ANTHEM INDIANA MEDICAID- NORTO | |
| 64017098 | KY | -- | |
| 200489040 | IN | -- | |
| 200489040 | KY | MD WISE- NORTON ICC | |
| 1128117 | KY | PASSPORT | |
| 200489040 | KY | HEALTHY INDIANA PLAN- NORTON I | |
| 31K4, 000000179 | KY | ANTHEM | |
| P00838101 | IN | RRMCR - NICC | |
| 002045573-002 | UNITED HEALTHCARE | ||
| 17376 | KY | SIHO - NORTON ICC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Juan Gustavo Polo by the Centers for Medicare & Medicaid Services?
The Juan Gustavo Polo has been assigned the NPI (National Provider Identifier) 1952399669 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Juan Gustavo Polo is physically located?
The Juan Gustavo Polo is physically situated at the following address: 234 E Gray St, Louisville, KY, 402021900.
What is the Juan Gustavo Polo's specialty and taxonomy code?
The Juan Gustavo Polo's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952399669 to Juan Gustavo Polo?
The Centers for Medicare & Medicaid Services assigned the 1952399669 to Juan Gustavo Polo on 2005-10-07.
As of what date was the information regarding Juan Gustavo Polo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Juan Gustavo Polo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-13.