Organization
STELLAR HEALTH CARE ASSOCIATES INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVIN N AVULA M.D. (PRESIDENT)
(270) 563-3000
Entity
Organization
Contact information
Practice address
121 COLLEGE STREET, SMITHS GROVE, KY 42171
(270) 563-3000
(270) 563-2801
Mailing address
PO BOX 399, SMITHS GROVE, KY 42171-0399
(270) 563-3000
(270) 563-2801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64311731
—
KY
Enumeration date
04/17/2007
Last updated
09/22/2014
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