| Diabetes & Endocrine Specialists Pllc | |
|
330 Townepark Cir Ste 100 Louisville KY 40243-2352 | |
| (502) 245-8988 | |
| Not Available |
| Full Name | Diabetes & Endocrine Specialists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Townepark Cir Ste 100, Louisville, Kentucky |
| Authorized Official Name and Position | Nisha Roy Varghese (OWNER) |
| Authorized Official Contact | 5022458988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrine Specialists Pllc 330 Townepark Cir Ste 100 Louisville KY 40243-2352 Ph: (502) 245-8988 | Diabetes & Endocrine Specialists Pllc 330 Townepark Cir Ste 100 Louisville KY 40243-2352 Ph: (502) 245-8988 |
| NPI Number | 1619162880 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 02/07/2012 |
| Medicare PECOS PAC ID | 6305814872 |
|---|---|
| Medicare Enrollment ID | O20040922000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619162880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 37290 (Kentucky) | Primary |
| Provider Name | Nisha R Varghese |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427137223 PECOS PAC ID: 7214911379 Enrollment ID: I20040616000287 |
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