Organization
AMG OF KENTUCKIANA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRMAL JOSHI MD (MEMBER/MANAGER)
(812) 629-5089
Entity
Organization
Contact information
Practice address
4601 MEDICAL PLAZA WAY, CLARKSVILLE, IN 47129-9204
(812) 284-6100
Mailing address
PO BOX 3684, SPRINGFIELD, IL 62708-3684
(941) 360-1566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
07/11/2016
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