SOPHIA A. KHAWLY


Address: 2406 W Broadway, Louisville, KY 40211-1008
Phone: 5027751211

SOPHIA A. KHAWLY (NPI# 1144573056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144573056
Entity Type Individual
Full Name SOPHIA A. KHAWLY
Credential NP
Practice Address 2406 W Broadway
Louisville
KY 40211-1008
Mailing Address 1395 Nw 167th St
Miami Gardens
FL 33169-5742
Practice Telephone 5027751211
Practice Fax Number 5023980041
Mailing Telephone 7865303150
Mailing Fax Number 7865303150
Enumeration Date 2012-10-17
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209018918 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
9323668 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 014578000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
10101 W Flagler St, Miami, FL 331741808 3059040838 3059040838
6326 Cermak Rd, Berwyn, IL 604022304 7083039234 7737292074

Office Location

Street Address 2406 W BROADWAY
City LOUISVILLE
State KY
Zip Code 40211-1008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972578813 Marlyce R Hill-ali Internal Medicine 2406 W Broadway, Louisville, KY 40211-1008 2006-02-22
1316467921 Ha-neul Seo Internal Medicine 2406 W Broadway, Louisville, KY 40211-1008 2017-06-23
1811352065 Ajit K. Brar Family Medicine 2406 W Broadway, Louisville, KY 40211-1008 2015-12-15
1861870412 Jugraj S Dhanoa Internal Medicine 2406 W Broadway, Louisville, KY 40211-1008 2015-05-15
1477993525 Preeti Wadhwa Family Medicine 2406 W Broadway, Louisville, KY 40211-1008 2013-07-02
1740540525 Jencare Neighborhood Medical Center West Broadway, LLC Non-Pharmacy Dispensing Site 2406 W Broadway, Louisville, KY 40211-1008 2012-05-25
1750647384 Vera Tate Psychiatry & Neurology 2406 W Broadway, Louisville, KY 40211-1008 2012-04-09
1164717492 Priscilla Nana Ama Owusu Internal Medicine 2406 W Broadway, Louisville, KY 40211 2011-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942792940 Kare LLC Dentist 2500 W Broadway Ste 500, Louisville, KY 40211 2018-06-05
1265943716 Practicare Home Care Services, LLC Nurse Practitioner 1667 Russell Lee Dr, Louisville, KY 40211 2017-10-23
1518478221 Latoya Samantha Hall Counselor 646 South 36th Street, Louisville, KY 40211 2017-10-20
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1194919548 Hardin Housing Corp Assisted Living Facility 2035 S 41st St, Louisville, KY 40211 2007-08-29
1184770562 Eta Day Care Center LLC Case Management 724 So 44th Street, Louisville, KY 40211 2007-01-26
1871571356 Alice C Gunnison Physician Assistant 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2006-01-05
1730733783 Mark A Bush Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-07-29
1407419237 Gina M Beckford Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-04-17
1730694266 Orchid House, Inc. Early Intervention Provider Agency 703 S 31st St, Louisville, KY 40211 2017-12-06
Find all providers in zip 40211

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023618535 Pamela Nicole Kinney Nurse Practitioner 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 2020-10-26
1457950883 Tetteh Narteh Nurse Practitioner 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 2020-10-16
1114525540 Richard A Anane Nurse Practitioner 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 2020-10-16
1427656081 Elma Mustic Nurse Practitioner 9714 Boxford Way, Louisville, KY 40242-2305 2020-10-15
1679171318 Cassandra Jane Lee Nurse Practitioner 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 2020-10-14
1942817762 Merritt Borders Nurse Practitioner 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 2020-09-25
1114533536 Lyssa Alexandra Miller Nurse Practitioner 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 2020-09-21
1174138713 Paola Cristina Maldonado Nurse Practitioner 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 2020-09-10
1033722525 Bynisha Robertson Nurse Practitioner 5312 Sprigwood Ln, Louisville, KY 40291-1135 2020-08-25
1154931202 Heather M Karem Nurse Practitioner 10207 Hartley Dr, Louisville, KY 40223-2735 2020-08-04
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Competitor

Search similar providers

City LOUISVILLE
Zip Code 40211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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