# APOLLO MEDICAL GROUP OF KENTUCKIANA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093182966
- **Authorized official:** DR. NIRMAL JOSHI MD (MEMBER)
- **Authorized official phone:** (941) 360-1566

## Contact information

- **Practice address:** 4005 DUPONT CIR, LOUISVILLE, KY 40207-4801
- **Practice address phone:** (502) 897-7401
- **Practice address fax:** (502) 897-5652
- **Mailing address:** 6094 14TH ST W, STE 176, BRADENTON, FL 34207-4104
- **Mailing address phone:** (941) 360-1566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2015
- **Last updated:** 08/27/2015