Individual provider · Type 1 NPI

Mary E. Fallat, MD

Pediatric Surgery Physician · Louisville, KY

NPI number 1124025127 Active

Practice location

411 E Chestnut St
Louisville, KY 40202-1713

Call (502) 588-0390 Map

Fax (502) 588-0396

Mailing address

PO Box 776879
Chicago, IL 60677-6879

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X21050 (KY)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1124025127

Mary E. Fallat, MD's National Provider Identifier is 1124025127, issued on Jul 5, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Louisville, KY. The record was last updated on Jul 7, 2026.