Seshabhattar, Praveen
Seshabhattar, Praveen is an individual health care provider with primary practice located at 1850 Bluegrass Ave Hips Dept, Louisville KY 40215-1161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Seshabhattar, Praveen can be contacted via phone (502) 367-3360.Contact Information
Primary practice address
1850 Bluegrass Ave Hips Dept
Louisville KY 40215-1161
Phone: (502) 367-3360
Fax: (502) 367-3365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35087541 | Ohio |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 42999 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42999 | Kentucky |
Profile Details
| NPI number | 1043263346 |
|---|---|
| LBN Legal business name | Seshabhattar, Praveen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 9th, 2023 - about 3 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 | 1043263346 | NPPES |
| Indiana | MEDICAID | 201062650 | |
| Indiana | MEDICAID | 7100154080 | |
| Indiana | MEDICAID | PENDING |
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