Individual
EGAMBARAM SENTHILVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9880 ANGIES WAY, STE. 330, LOUISVILLE, KY 40241-2852
(502) 588-2220
(502) 588-2221
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-2220
(502) 588-2221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45090
KY
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
45090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073350
—
IN
05
—
7100211060
—
KY
Enumeration date
05/18/2007
Last updated
10/14/2014
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