Todd Tzanetos, Deanna Rae

Todd Tzanetos, Deanna Rae is an individual health care provider with primary practice located at 200 E Chestnut St , Louisville KY 40202-1831. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Todd Tzanetos, Deanna Rae can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
200 E Chestnut St Louisville KY 40202-1831
Phone: (502) 629-6000
Fax: (502) 629-5865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39283 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39283 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 39283 Kentucky

Profile Details

NPI number 1619062809
LBN Legal business name Todd Tzanetos, Deanna Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 29th, 2020 - about 6 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 1619062809 NPPES
Kentucky MEDICAID 6412376300

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