Individual
DR. BHASKARAN N SREEKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 MCCOY AVE, SUITE 379, MADISONVILLE, KY 42431-2867
(270) 821-0677
(270) 821-2539
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
KY33663
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64336639
—
KY
Enumeration date
11/10/2005
Last updated
12/03/2020
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