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Individual

MANOJ H MAJMUDAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1724 KENTON ST, SUITE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
(270) 886-8869
Mailing address
1724 KENTON ST, SUITE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
(270) 886-8869

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27028
KY
207RP1001X
Pulmonary Disease Physician
Primary
27028
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64270283
KY
Enumeration date
04/19/2006
Last updated
09/12/2012
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