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Organization

CHINMAY MEDICAL, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VISHWANATH HALUKURIKE MD (OWNER)
(502) 863-5321
Entity
Organization

Contact information

Practice address
1140 LEXINGTON RD, SUITE 101, GEORGETOWN, KY 40324-9330
(502) 863-5321
(502) 863-5706
Mailing address
1140 LEXINGTON RD, SUITE 101, GEORGETOWN, KY 40324-9330
(502) 863-5321
(502) 863-5706

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
37238
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100062100
KY
Enumeration date
12/02/2008
Last updated
04/20/2009
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