Hebbalmath, Goutham
Hebbalmath, Goutham is an individual health care provider with primary practice located at 57 Summit Dr , Corbin KY 40701-2746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hebbalmath, Goutham can be contacted via phone (606) 528-9700.Contact Information
Primary practice address
57 Summit Dr
Corbin KY 40701-2746
Phone: (606) 528-9700
Fax: (606) 528-8423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 46189 | Kentucky |
Profile Details
| NPI number | 1629386701 |
|---|---|
| LBN Legal business name | Hebbalmath, Goutham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2010 |
| Last updated | Sep 8th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629386701 | NPPES |
| Kentucky | MEDICAID | 7100256410 |
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