Individual
DR. VINAY GOPAL NIDADAVOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3430 NEWBURG RD STE 150, LOUISVILLE, KY 40218-2497
(502) 459-9127
(502) 459-2156
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01088858A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
47408
KY
207RP1001X
Pulmonary Disease Physician
Primary
47408
KY
Other
Enumeration date
08/09/2011
Last updated
08/22/2024
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