Individual
DR. SURESH KESHAVAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-6013
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
57895
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
FL056
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD456405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FL056
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
04/16/2008
Last updated
04/03/2023
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