Kudrimoti, Archana Mahesh

Kudrimoti, Archana Mahesh is an individual health care provider with primary practice located at 2195 Harrodsburg Rd Department Of Family And Community Medicine, Suite 125, Lexington KY 40504-3504. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kudrimoti, Archana Mahesh can be contacted via phone (859) 323-6371.

Contact Information

Primary practice address
2195 Harrodsburg Rd Department Of Family And Community Medicine, Suite 125 Lexington KY 40504-3504
Phone: (859) 323-6371
Fax: (859) 323-6661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36895 Kentucky
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 36895 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 36895 Kentucky
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 36895 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 36895 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 36895 Kentucky

Profile Details

NPI number 1952413742
LBN Legal business name Kudrimoti, Archana Mahesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 21st, 2015 - about 10 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 1952413742 NPPES
Kentucky MEDICAID 64095904

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