Individual
DR. KUNNATHU P. GEEVARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 302, LOUISVILLE, KY 40215-1190
(502) 366-7317
(502) 366-7318
Mailing address
4402 CHURCHMAN AVE, SUITE 302, LOUISVILLE, KY 40215-1190
(502) 366-7317
(502) 366-7318
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16440
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
16440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187460
UNICARE
—
01
—
000000187640
KY STATE DISTRICT CO
—
01
—
0004012479
AETNA
—
01
—
050078005
MEDICARE RAILROAD
—
01
—
1131109
PASSPORT
—
01
—
2437681000
PASSPORT ADVANTAGE
—
01
—
40090988000
COMP MANAGEMENT
—
01
—
64164403
KENPAC
—
05
—
64164403
—
KY
01
—
C3647401
HUMANA
—
Enumeration date
09/30/2006
Last updated
09/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us