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Individual

SHAILESH Y BHOPATKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000
(606) 330-7825
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 315-1458
(502) 479-1425

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37716
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000300822
ANTHEM
KY
05
64095219
KY
Enumeration date
05/11/2006
Last updated
02/03/2015
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