BOKHODIR S MAMEDOV

LOUISVILLE, KY
NPI1417482357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: KY  54999)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-28
Last Update Date2021-06-11
Business Address
BOKHODIR S MAMEDOV
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207-4637
Phone number: 502-851-3268
Mailing Address
BOKHODIR S MAMEDOV
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207-4637
Phone number: 502-895-8911