Individual
ABHIJIT HALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01045964A
IN
207L00000X
Anesthesiology Physician
Primary
30389
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050070972
RAILROAD MEDICARE
KY
05
—
200245780
—
IN
05
—
64303894
—
KY
01
—
CH6488
RR MEDICARE GROUP NUMBER
KY
Enumeration date
10/03/2005
Last updated
04/26/2023
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