Organization
DIABETES & ENDOCRINE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMANA VENKATA CHENNUBHOTLA M.D. (OWNER)
(502) 384-3401
Entity
Organization
Contact information
Practice address
9720 PARK PLAZA AVE, SUITE 101, LOUISVILLE, KY 40241-2288
(502) 384-3401
(502) 384-3407
Mailing address
9720 PARK PLAZA AVE, SUITE 101, LOUISVILLE, KY 40241-2288
(502) 384-3401
(502) 384-3407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39338
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
39338
KY
Other
Enumeration date
07/11/2007
Last updated
04/25/2011
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