Individual
DR. VIDYA SESHADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0474
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0474
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42417
KY
207RH0003X
Hematology & Oncology Physician
57.004578
OH
207RH0003X
Hematology & Oncology Physician
TP237
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592871
ANTHEM
KY
05
—
7100072360
—
KY
01
—
P00737992
RAILROAD MEDICARE
KY
Enumeration date
04/25/2007
Last updated
08/20/2019
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