# DIABETES & ENDOCRINE CONSULTANTS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1144429101
- **Authorized official:** RAMANA VENKATA CHENNUBHOTLA M.D. (OWNER)
- **Authorized official phone:** (502) 384-3401

## Contact information

- **Practice address:** 9720 PARK PLAZA AVE, SUITE 101, LOUISVILLE, KY 40241-2288
- **Practice address phone:** (502) 384-3401
- **Practice address fax:** (502) 384-3407
- **Mailing address:** 9720 PARK PLAZA AVE, SUITE 101, LOUISVILLE, KY 40241-2288
- **Mailing address phone:** (502) 384-3401
- **Mailing address fax:** (502) 384-3407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 39338 | KY | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 39338 | KY | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 04/25/2011