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Individual

MONICA MUDUKANNA HALAPPANAVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
708 MAGAZINE ST, LOUISVILLE, KY 40203-2043
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1954
(502) 589-8600
(502) 589-8771

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44982
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100145020
KY
Enumeration date
04/01/2008
Last updated
03/06/2015
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