Provider Demographics
NPI:1053428714
Name:OLASH, FELIX ALBERT JR (MD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:ALBERT
Last Name:OLASH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3900 KRESGE WAY
Mailing Address - Street 2:STE. 50
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4660
Mailing Address - Country:US
Mailing Address - Phone:502-897-1776
Mailing Address - Fax:502-896-8411
Practice Address - Street 1:3900 KRESGE WAY
Practice Address - Street 2:STE. 50
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4660
Practice Address - Country:US
Practice Address - Phone:502-897-1776
Practice Address - Fax:502-896-8411
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY25479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64254790Medicaid
KY1023202Medicare PIN
KY64254790Medicaid