Most Relevant Information
Provider Data
| NPI Number: | 1003821810 |
| Provider Name: | JYOTI B. BURRUSS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 28215 |
Most Important Dates
| Enumeration Date: | 07/30/2006 |
| Last Updated: | 07/17/2018 |
Provider Practice Location
3810 SPRINGHURST BLVD
SUITE 200
LOUISVILLE
KY
40241
Practice Location Phone/Fax
| Phone: | 5025831749 |
| Fax: | 5023298184 |
Provider Mailing Location
PO BOX 950132
LOUISVILLE
KY
402950132
Provider Mailing Phone/Fax
| Phone: | 8889808992 |
| Fax: |