IndividualActive
Mary Fallat, M.D.
NPI 1124025127 · Pediatric Surgery Physician · Louisville, KY
Provider details
- NPI number
- 1124025127
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 21050 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
234 E Gray St
Ste 766
Louisville, KY 40202-1901
Phone: (502) 588-0390
Fax: (502) 584-5437
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 909
Louisville, KY 40201-0909
Additional practice locations (1)
- 234 E Gray StSte 766Louisville, KY 40202-1901Phone: (502) 583-7337Fax: (502) 584-5437
Registry dates
- Enumerated
- 2005-07-05
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.