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INFECTIOUS DISEASES SPECIALISTS OF KENTUCKIANA LLC NPI 1740694421


NPI Information

NPI: 1740694421
Provider Name: INFECTIOUS DISEASES SPECIALISTS OF KENTUCKIANA LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
1220 MISSOURI AVE
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 949-3242
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INFECTIOUS DISEASES SPECIALISTS OF KENTUCKIANA LLC is an infectious disease internal medicine in Jeffersonville, IN. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. INFECTIOUS DISEASES SPECIALISTS OF KENTUCKIANA LLC NPI is 1740694421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1220 MISSOURI AVE
JEFFERSONVILLE, IN
ZIP 47130-725
Phone: (812) 949-3242

The provider's authorized official is Ammar Tayara .
The authorized official title is Member and has the following contact phone number (812) 949-3242.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 3/29/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2363LG0600XNurse PractitionerGerontologyNo
3207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000883842OTHERINDIANAANTHEM
2201244550MEDICAIDINDIANA
37100359690MEDICAIDKENTUCKY
4IN2020MEDICARE PININDIANA
5DV0764OTHERINDIANARAILROAD MEDICARE
6K131960MEDICARE PINKENTUCKY
77100447670MEDICAIDKENTUCKY
8DV8435OTHERKENTUCKYRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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