James, Koduvathara L

James, Koduvathara L is an individual health care provider with primary practice located at 225 Abraham Flexner Way Suite 305, Louisville KY 40202-1882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. James, Koduvathara L can be contacted via phone (502) 585-4321.

Contact Information

Primary practice address
225 Abraham Flexner Way Suite 305 Louisville KY 40202-1882
Phone: (502) 585-4321
Fax: (502) 566-6338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01033493A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23622 Kentucky

Profile Details

NPI number 1063400885
LBN Legal business name James, Koduvathara L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 2nd, 2018 - about 8 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 1063400885 NPPES
Kentucky MEDICAID 64756406
Kentucky Other P00141381
Kentucky Other 060026550
Kentucky MEDICAID 100075640
Kentucky Other 060057271

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