Elikkottil, Jaseena

Elikkottil, Jaseena is an individual health care provider with primary practice located at 4805 Southside Dr , Louisville KY 40214-2111. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Technologists, Technicians & Other Technical Service Providers / Histology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Elikkottil, Jaseena can be contacted via phone (502) 772-8860.

Contact Information

Primary practice address
4805 Southside Dr Louisville KY 40214-2111
Phone: (502) 772-8860
Fax: (502) 996-8309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 49109 Kentucky
Technologists, Technicians & Other Technical Service Providers / Histology 246RH0600X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 22544 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49109 Kentucky

Profile Details

NPI number 1407096233
LBN Legal business name Elikkottil, Jaseena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2009
Last updated Aug 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407096233 NPPES
Kentucky MEDICAID 7100437200
Kentucky MEDICAID 201407600

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