Most Relevant Information
Provider Data
NPI Number: | 1003398207 |
Provider Name: | SIDDHARTH PAHWA |
Entity Type: | Individual |
Taxonomy Code: | 2086S0129X |
Specialty: | Surgery |
License Number: | FL060 |
Most Important Dates
Enumeration Date: | 09/04/2018 |
Last Updated: | 12/07/2021 |
Provider Practice Location
201 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE
KY
402023841
Practice Location Phone/Fax
Phone: | 5025887600 |
Fax: |
Provider Mailing Location
PO BOX 909
LOUISVILLE
KY
402010909
Provider Mailing Phone/Fax
Phone: | 5025880325 |
Fax: |