Individual
DHANUNJAY SARMA BOYALAKUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-8434
(598) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05174
KY
207R00000X
Internal Medicine Physician
58.031128
OH
208M00000X
Hospitalist Physician
Primary
05174
KY
Other
Enumeration date
05/10/2019
Last updated
07/05/2022
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