Kadam Maruthi, Vijaya

Kadam Maruthi, Vijaya is an individual health care provider with primary practice located at 550 S Jackson St , Louisville KY 40202-1622. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Kadam Maruthi, Vijaya can be contacted via phone (502) 588-3600.

Contact Information

Primary practice address
550 S Jackson St Louisville KY 40202-1622
Phone: (502) 588-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 58690 Kentucky

Profile Details

NPI number 1104482249
LBN Legal business name Kadam Maruthi, Vijaya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2019
Last updated Apr 16th, 2024 - about 2 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 1104482249 NPPES
Washington Other 0-714-963-6 ECFMG
Washington Other 239434850 ECFMG

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