| Attending Physicians Chani, Mullick & Grau | |
|
350 Park St Suite 204 Bowling Green KY 42101-1784 | |
| (270) 843-5103 | |
| (270) 843-5104 |
| Full Name | Attending Physicians Chani, Mullick & Grau |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 350 Park St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Ronald G. Sowell (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2707451536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Attending Physicians Chani, Mullick & Grau Po Box 2697 Bowling Green KY 42102-7697 Ph: (270) 745-1467 | Attending Physicians Chani, Mullick & Grau 350 Park St Suite 204 Bowling Green KY 42101-1784 Ph: (270) 843-5103 |
| NPI Number | 1467482299 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467482299 | NPI | - | NPPES |
| 65931776 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Kentucky) | Primary |
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