Organization
SOUTHEND GASTROENTEROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY K JAIN MD (OWNER)
(502) 891-4000
Entity
Organization
Contact information
Practice address
4402 CHURCHMAN AVE, STE 408, LOUISVILLE, KY 40215-1190
(502) 365-5140
Mailing address
2503 BUSH RIDGE DR, A, LOUISVILLE, KY 40245-5885
(502) 819-4000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644156
ANTHEM
—
05
—
201118680
—
IN
01
—
50027327
PASSPORT
KY
05
—
7100101260
—
KY
01
—
7956992
AETNA
—
Enumeration date
12/16/2009
Last updated
05/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us