Individual
MR. LAL KUMAR TANWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 BLUEGRASS AVE, SUITE 108, LOUISVILLE, KY 40215-1144
(502) 361-2524
(502) 361-2525
Mailing address
1900 BLUEGRASS AVE, SUITE 108, LOUISVILLE, KY 40215-1144
(502) 361-2524
(502) 361-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35300
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01063197A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
35300
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200855050A (KOHMG)
—
IN
05
—
64055551
—
KY
Enumeration date
09/06/2005
Last updated
05/23/2016
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