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3740 Old Hartford Rd Owensboro KY 42303-1727 | |
| (270) 684-7259 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 3740 Old Hartford Rd, Owensboro, Kentucky |
| Authorized Official Name and Position | Mahesh K Moolani (PRESIDENT) |
| Authorized Official Contact | 2703023998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2733 Trotters Ln Owensboro KY 42303-4540 Ph: (270) 302-3998 | 3740 Old Hartford Rd Owensboro KY 42303-1727 Ph: (270) 684-7259 |
| NPI Number | 1538688080 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538688080 | NPI | - | NPPES |
| 64090731 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38505 (Kentucky) | Primary |
Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
Choice Care Associates, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-0900 Fax: 207-926-7488 | |
Randy L Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 | |
Robert C Dalzell,md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 Veach Rd, Owensboro, KY 42303 Phone: 270-926-2929 Fax: 270-683-3290 |