Organization
APPALACHIAN PHYSICIANS PSC
Active
Organization
APPALACHIAN PHYSICIANS PSC
Active
Other names
Appalachian Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK SRIVASTAVA M.D. (PRESIDENT)
(660) 487-9999
Entity
Organization
Contact information
Practice address
101 TOWN AND COUNTRY LN STE 700, HAZARD, KY 41701
(606) 598-5104
(606) 598-0983
Mailing address
509 MEMORIAL DR STE 2, MANCHESTER, KY 40962-6196
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
11/05/2019
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