Individual
UDAYA GEETHA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4003 KRESGE WAY, STE 500, LOUISVILLE, KY 40207
(502) 897-1166
(502) 897-1461
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
22760
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652532
ANTHEM
KY
01
—
3770412000
PASSPORT ADVANTAGE
KY
01
—
50027642
PASSPORT
KY
05
—
64227606
—
KY
Enumeration date
02/02/2006
Last updated
12/07/2020
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