Provider Demographics
NPI:1104085455
Name:ALSAUSKAS, ZYGIMANTAS CESLOVAS (MD)
Entity type:Individual
Prefix:DR
First Name:ZYGIMANTAS
Middle Name:CESLOVAS
Last Name:ALSAUSKAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:501 E BROADWAY STE 290
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2040
Mailing Address - Country:US
Mailing Address - Phone:502-217-8221
Mailing Address - Fax:502-217-5056
Practice Address - Street 1:615 S PRESTON ST
Practice Address - Street 2:DEPT. OF NEPHROLOGY
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1715
Practice Address - Country:US
Practice Address - Phone:502-852-5757
Practice Address - Fax:502-589-5093
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2010-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYP58065207RN0300X
KY43698207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100134480Medicaid