| NPI | 1114177979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED A KHADER Owner Physician 502-968-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 207X00000X Orthopaedic Surgery | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2025-11-13 |