Individual
DR. INDAR MOHAN JHAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1217 ASHLEY CIR, BOWLING GREEN, KY 42104-3383
(270) 782-3237
(270) 782-1412
Mailing address
186 TALBOTT DR, BOWLING GREEN, KY 42103-1322
(270) 782-0466
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
20856
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000-550426
BS
PA
01
—
000000048215
BCBS
KY
01
—
0028731
BCBS
TN
01
—
02-00002
UH
—
01
—
1790983377
MEDICAID NPI
KY
01
—
18D0325833
CLIA
—
01
—
4263926
AETNA
—
01
—
45641453
EPSDT
KY
01
—
61101
HUMANA
—
01
—
6368
CHA
—
05
—
64208564
—
KY
01
—
7305
ALTERNATIVE HEALTH
—
01
—
7305V665.1
GE
—
01
—
K004831
CHAMPUS
KY
01
—
P020
HEALTHWISE
—
Enumeration date
09/27/2006
Last updated
09/14/2011
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