Individual
KALIDAS G SAHETYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 US 31W BYP, BOWLING GREEN, KY 42101-1703
(270) 796-8800
(270) 796-9328
Mailing address
PO BOX 90039, BOWLING GREEN, KY 42102-9039
(270) 796-8800
(270) 796-9328
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20980
KY
207RI0011X
Interventional Cardiology Physician
Primary
20980
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050059
ANTHEM BCBS
KY
05
—
64209802
—
KY
Enumeration date
01/05/2006
Last updated
08/27/2016
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