Individual provider · Type 1 NPI

Mikhail Mahdi Thanawalla, MD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1669319505 Active

Practice location

2301 S 3rd St
Louisville, KY 40208-1802

Call (502) 852-0000 Map

Mailing address

550 S Jackson St
Louisville, KY 40202-1622

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669319505

Mikhail Mahdi Thanawalla, MD's National Provider Identifier is 1669319505, issued on Apr 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Apr 29, 2026.