Penaranda Canal, Juan Gabriel
Penaranda Canal, Juan Gabriel is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Penaranda Canal, Juan Gabriel can be contacted via phone (859) 301-9010.Contact Information
Primary practice address
1 Medical Village Dr
Edgewood KY 41017-3403
Phone: (859) 301-9010
Fax: (859) 301-9018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301085374 | Michigan |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 32425 | Alabama |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 60150 | Kentucky |
Profile Details
| NPI number | 1588786784 |
|---|---|
| LBN Legal business name | Penaranda Canal, Juan Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jan 14th, 2025 - about last year |
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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