| Diabetes & Endocrine Consultants Pllc | |
|
9720 Park Plaza Ave Suite 101 Louisville KY 40241-2288 | |
| (502) 384-3401 | |
| (502) 384-3407 |
| Full Name | Diabetes & Endocrine Consultants Pllc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 9720 Park Plaza Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Ramana Venkata Chennubhotla (OWNER) |
| Authorized Official Contact | 5023843401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrine Consultants Pllc 9720 Park Plaza Ave Suite 101 Louisville KY 40241-2288 Ph: (502) 384-3401 | Diabetes & Endocrine Consultants Pllc 9720 Park Plaza Ave Suite 101 Louisville KY 40241-2288 Ph: (502) 384-3401 |
| NPI Number | 1144429101 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144429101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39338 (Kentucky) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 39338 (Kentucky) | Primary |
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