Andrej Ajanovic
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Louisville, KY
NPI 1992521058 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1992521058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 508 Lake Forest Pkwy
Louisville, KY 40245-5102 - Phone
- (502) 762-4298
- NPI assigned
- Nov 22, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
508 Lake Forest Pkwy
Louisville, KY 40245-5102
Mailing address
508 Lake Forest Pkwy
Louisville, KY 40245-5102
Phone (502) 762-4298
Other providers in Louisville, KY
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- Sergei Airapetov
- Liliani Aires Candido Vieira
- Dona Joy Airey
- Jennifer Ajkay
- Nicolas Ajkay
- Anisha Ajmani
- Anjali Ajmani
- Deep Ajmani
All providers in Louisville, KY · Student in an Organized Health Care Education/Training Program in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.