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Mr. Christodulos Stefanatos Stavens, MD
Cardiovascular Disease Physician in Louisville, Kentucky
NPI 1659457232

Christodulos Stefanatos Stavens is a Cardiovascular Disease Physician based in Louisville, KY and is specialized in Cardiovascular Disease. Christodulos Stefanatos Stavens practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Christodulos Stefanatos Stavens is 1659457232 and holds a License No. 01035475A (Kentucky).

The current practice location address for Christodulos Stefanatos Stavens is 100 Mallard Creek Rd, Louisville, KY and can be reached out via phone at 502-589-7907 and via fax at 502-589-1319.

Location: 100 Mallard Creek Rd, Louisville, KY, 40207-4194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659457232
Provider Name
Christodulos Stefanatos Stavens
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Mallard Creek Rd, Louisville, KY, 40207-4194
Phone Number
502-589-7907
Fax Number
502-589-1319
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1052057 01 PASSPORT HEALTH PLAN
64245095 05 KY
000000052133 01 KY ANTHEM BCBS
060052924 01 KY RAILROAD MEDICARE
060053877 01 IN RAILROAD MEDICARE/MADISON
687915 01 FIRST HEALTH
200040930 05 IN
25-00167 01 KY UNITED HEALTHCARE
299856 01 FEDERAL BLACK LUNG PROGRA
415633P 01 KY SIHO HEALTH PLAN
060052921 01 KY RAILROAL MEDICARE/TVILLE
institution
Provider Business Practice Location Address Details
Address
100 Mallard Creek Rd
City
Louisville
State
Kentucky
Zip
40207-4194
Phone Number
502-589-7907
Fax Number
502-589-1319
person
Provider Business Mailing Address Details
Address
100 Mallard Creek Rd
City
Louisville
State
Kentucky
Zip
40207-4194
Phone Number
502-589-7907
Fax Number
502-589-1319
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
24509 (Kentucky)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
24509 (Kentucky)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
01035475A (Indiana)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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