Individual
DR. AMANINDERAPAL S GHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 331-0774
(859) 578-3800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-2000
(859) 426-4140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47504
KY
207R00000X
Internal Medicine Physician
R2754
KY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
47504
KY
207RC0000X
Cardiovascular Disease Physician
47504
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2011
Last updated
10/28/2021
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