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Individual

NATARAJAN THANNOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 THANNOLI DR, SOMERSET, KY 42503-2861
(606) 677-0854
(606) 677-9311
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31681
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64316813
KY
Enumeration date
12/19/2005
Last updated
12/03/2020
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