Organization
KENTUCKY HEART CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIMACHAL VELIGANDLA M.D. (PRACTICE OWNER)
(606) 325-0011
Entity
Organization
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 100, ASHLAND, KY 41101-2873
(606) 547-1010
Mailing address
2301 LEXINGTON AVE, SUITE 100, ASHLAND, KY 41101-2873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492275
ANTHEM BLUE CROSS
KY
Enumeration date
12/15/2006
Last updated
08/22/2020
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