Maru, Mahendra C

Maru, Mahendra C is an individual health care provider with primary practice located at 1930 E Parrish Ave , Owensboro KY 42303-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Maru, Mahendra C can be contacted via phone (270) 689-1919.

Contact Information

Primary practice address
1930 E Parrish Ave Owensboro KY 42303-1443
Phone: (270) 689-1919
Fax: (270) 689-1990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 33042 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33042 Kentucky

Profile Details

NPI number 1891792818
LBN Legal business name Maru, Mahendra C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 23rd, 2015 - about 11 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 1891792818 NPPES
Indiana MEDICAID 200145790
Indiana Other 000000067006
Indiana MEDICAID 64330426
Indiana Other CJ7612
Indiana Other 000000067006
Indiana Other CJ7612

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