ALALEH ESMAEILI SHANDIZ

LOUISVILLE, KY
NPI1467867127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: KY  TP169)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN  11017834A)
Enumeration Date2014-06-21
Last Update Date2020-05-08
Business Address
ALALEH ESMAEILI SHANDIZ M.D
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1816
Mailing Address
ALALEH ESMAEILI SHANDIZ M.D
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: