Individual
MAHESH K. MOOLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1090
(270) 685-8224
(270) 685-8228
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1090
(270) 684-0028
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38505
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000514448
ATNEM BLUE CROSS AND BLUE SHEILD
KY
05
—
64090731
—
KY
01
—
P00473282
RR MEDICARE
KY
Enumeration date
05/05/2006
Last updated
02/16/2022
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