Individual
DR. THANESAN GURUMURTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
Mailing address
681 NAPA VALLEY LN, APT 11, CRESTVIEW HILLS, KY 41017-5110
(859) 814-4496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R2476
KY
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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