IMAD BAHLAWANE

LOUISVILLE, KY
NPI1447036546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-09-05
Last Update Date2023-09-05
Business Address
IMAD BAHLAWANE
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-562-3000
Mailing Address
IMAD BAHLAWANE
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: