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Individual

SRI PRAKASH L MOKSHAGUNDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202-5700
(502) 588-4600
(502) 589-5093
Mailing address
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202-5700
(502) 588-4600
(502) 589-5093

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01046741A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
28777
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200058880
IN
05
64287774
KY
Enumeration date
06/02/2006
Last updated
03/16/2015
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