Kamishetti, Mallikarjun
Kamishetti, Mallikarjun is an individual health care provider with primary practice located at 320 W 18Th St , Hopkinsville KY 42240-1965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kamishetti, Mallikarjun can be contacted via phone (270) 887-0100.Contact Information
Primary practice address
320 W 18Th St
Hopkinsville KY 42240-1965
Phone: (270) 887-0100
Fax: (270) 887-0342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39952 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 39952 | Kentucky |
Profile Details
| NPI number | 1982645297 |
|---|---|
| LBN Legal business name | Kamishetti, Mallikarjun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Oct 14th, 2014 - about 12 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 | 1982645297 | NPPES |
| Kentucky | Other | 000000559181 | ANTHEM BCBS |
| Kentucky | MEDICAID | 64129414 | ANTHEM BCBS |
Popular Providers
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Majmudar, Manoj H
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Shah, Pankajkumar C
320 W 18Th St , Hopkinsville KY 42240-1965 -
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