Individual
DR. MANJARI MOTAPARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3991 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4700
(502) 889-6782
(502) 899-6783
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01061427
IN
2084N0400X
Neurology Physician
Primary
40998
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000553249
ANTHEM - NNS
KY
01
—
000023032V
HUMANA - NNS
KY
01
—
088968
SIHO - NNS
KY
01
—
094759
SIHO - CMA
KY
01
—
1606069
CIGNA - NNS
KY
01
—
196290DDDD
MEDICARE - NNS
IN
05
—
200838970
—
IN
01
—
50020053
PASSPORT - NNS
KY
05
—
64119290
—
KY
Enumeration date
11/09/2005
Last updated
05/03/2012
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