Organization
BELL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETA CHAVDA M.D. (OWNER)
(270) 265-2575
Entity
Organization
Contact information
Practice address
105 ELK FORK RD, ELKTON, KY 42220-0000
(270) 265-2575
(270) 265-3098
Mailing address
PO BOX 187, ELKTON, KY 42220-0187
(270) 265-2575
(270) 265-3098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00819
MEDICARE PTAN
KY
01
—
18D0953137
CLIA
KY
Enumeration date
09/24/2008
Last updated
08/06/2010
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