Individual
PREETHI ANANTHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 303, LOUISVILLE, KY 40241-2848
(502) 394-6470
(502) 394-6477
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231969-1
NY
207RI0200X
Infectious Disease Physician
Primary
42772
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000723931
ANTHEM- NORTON INPATIENT SPECIALISTS
KY
01
—
000057121LD
HUMANA- NIS
KY
05
—
201031140
—
IN
01
—
50036615
PASSPORT- NCMA
KY
05
—
7100131850
—
KY
Enumeration date
07/09/2006
Last updated
02/29/2012
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