Individual
TERRENCE P DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 POPLAR LEVEL RD STE 101, LOUISVILLE, KY 40213-1076
(502) 636-7444
(502) 636-7112
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000240980
ANTHEM / NCMA
KY
01
—
000028412B
HUMANA / NCMA
KY
01
—
019323
SIHO / NCMA
KY
01
—
110242747
RAILROAD MEDICARE
KY
01
—
116617
PASSPORT / NCMA
KY
05
—
200464440
—
IN
05
—
64222805
—
KY
01
—
7625694
CIGNA / NCMA
KY
Enumeration date
04/18/2006
Last updated
09/20/2022
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