Individual
DR. GINIUS PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 S PRESTON ST FL 2, LOUISVILLE, KY 40203-2319
(502) 583-1799
(502) 583-1792
Mailing address
721 S PRESTON ST FL 2, LOUISVILLE, KY 40203-2319
(502) 583-1799
(502) 583-1792
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01075207A
IN
207RN0300X
Nephrology Physician
Primary
48314
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201287420
—
IN
05
—
7100358460
—
KY
Enumeration date
09/25/2012
Last updated
07/21/2023
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