| Medical Specialists Of Kentuckiana Pllc | |
|
1013 Dupont Square North Ste A Louisville KY 40207 | |
| (502) 896-6166 | |
| (502) 896-6168 |
| Full Name | Medical Specialists Of Kentuckiana Pllc |
|---|---|
| Speciality | Anesthesiology |
| Location | 1013 Dupont Square North, Louisville, Kentucky |
| Authorized Official Name and Position | Vani Nadar (OWNER) |
| Authorized Official Contact | 5028966166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Specialists Of Kentuckiana Pllc 1013 Dupont Square North Ste A Louisville KY 40207 Ph: (502) 896-6166 | Medical Specialists Of Kentuckiana Pllc 1013 Dupont Square North Ste A Louisville KY 40207 Ph: (502) 896-6166 |
| NPI Number | 1497776397 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 03/12/2022 |
| Medicare PECOS PAC ID | 0345268090 |
|---|---|
| Medicare Enrollment ID | O20051110000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497776397 | NPI | - | NPPES |
| 64032923 | Medicaid | KY | |
| 64042831 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36216 (Kentucky) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 35843 (Kentucky) | Primary |
| Provider Name | Krishna S Nadar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801821962 PECOS PAC ID: 2860473170 Enrollment ID: I20040823001552 |
| Provider Name | Vani Nadar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881627669 PECOS PAC ID: 0042238701 Enrollment ID: I20051116000989 |
| Provider Name | Vinayak Nadar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447645403 PECOS PAC ID: 3779901772 Enrollment ID: I20200908001519 |
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