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Individual

KINGAL VIRSHNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
231 E CHESTNUT ST, DEPARTMENT OF RADIOLOGY, LOUISVILLE, KY 40202-1821
(502) 629-7661
(502) 629-5309
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
43610
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000672818
ANTHEM - KCR
KY
01
000052153Z
HUMANA - KCR
KY
01
117075
SIHO - KCR
KY
05
201008090
IN
01
203438
CSHCS - KCR
KY
01
50030000
PASSPORT/PASSPORT ADVANTAGE - KCR
KY
05
7100132010
KY
01
7472334
CIGNA - KCR
KY
Enumeration date
04/07/2009
Last updated
07/15/2016
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