Individual
ANUDEEP KOMMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501
(606) 430-3500
Mailing address
1421 W ROSEMONT AVE APT 2E, CHICAGO, IL 60660-0166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351046827
MI
207R00000X
Internal Medicine Physician
Primary
58051
KY
Other
Enumeration date
06/03/2020
Last updated
06/18/2023
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