Individual
ASHOK S KANTHAWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 HOSPITAL DR STE 201, SHELBYVILLE, KY 40065-1798
(502) 895-8970
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 895-8970
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37920
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328132
BLUE CROSS BLUE SHIELD
KY
05
—
64050925
—
KY
01
—
P00207641
RAILROAD MEDICARE
KY
Enumeration date
03/16/2006
Last updated
02/08/2024
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