Individual
ANANTH NETRAKERE KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 EASTERN BYP, MOB 1, SUITE 20, RICHMOND, KY 40475-2415
(859) 625-5511
(859) 625-5513
Mailing address
789 EASTERN BYP, MOB 1, SUITE 20, RICHMOND, KY 40475-2415
(859) 625-5511
(859) 625-5513
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35405
KY
207RI0011X
Interventional Cardiology Physician
Primary
35405
KY
207UN0901X
Nuclear Cardiology Physician
2080
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64006166
—
KY
Enumeration date
07/09/2006
Last updated
09/24/2014
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