Individual
KAMALA S. MOKSHAGUNDAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 367-3360
(502) 367-3365
Mailing address
6801 DIXIE HWY, SUITE 113E, LOUISVILLE, KY 40258-3913
(502) 451-5855
(502) 479-1409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29106
KY
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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