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Individual

DR. KRISHNA S NADAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1013 N DUPONT SQ, SUITE A, LOUISVILLE, KY 40207-4612
(502) 896-6166
Mailing address
1013 N DUPONT SQ, SUITE A, LOUISVILLE, KY 40207-4612
(502) 896-6166

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35843
KY
208VP0000X
Pain Medicine Physician
Primary
35843
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
375805
ANTHEM
KY
01
50008797
PASSPORT
KY
05
64032923
KY
01
7576370
AETNA
KY
Enumeration date
07/11/2006
Last updated
12/24/2009
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