Organization
WESTERN KENTUCKY PULMONARY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ H MAJMUDAR MD (OWNER)
(270) 886-8840
Entity
Organization
Contact information
Practice address
1724 KENTON ST, SUITE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
(270) 886-8869
Mailing address
1724 KENTON ST, SUITE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
(270) 886-8869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208318
BCBS
KY
05
—
65936122
—
KY
Enumeration date
07/28/2006
Last updated
03/07/2014
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