Individual
MAHESH RAVINDRA KUDRIMOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17525 GREENDALE PLAZA DR, GREENDALE, IN 47025-8299
(859) 301-2238
(859) 301-4946
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2238
(859) 301-4946
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01090145A
IN
2085R0001X
Radiation Oncology Physician
36014
KY
2085R0203X
Therapeutic Radiology Physician
36014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64034028
—
KY
Enumeration date
07/10/2006
Last updated
05/09/2024
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