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ALBERTO RENE MALDONADO M.D. P.S.C. NPI 1447573076


NPI Information

NPI: 1447573076
Provider Name: ALBERTO RENE MALDONADO, M.D., P.S.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1169 EASTERN PKWY
SUITE 3337
LOUISVILLE, KY
ZIP 40217
Phone: (502) 456-9214
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ALBERTO RENE MALDONADO, M.D., P.S.C. is a specialist in Louisville, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALBERTO RENE MALDONADO, M.D., P.S.C. NPI is 1447573076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1169 EASTERN PKWY
SUITE 3337
LOUISVILLE, KY
ZIP 40217-417
Phone: (502) 456-9214
Fax: (502) 458-9348

The provider's authorized official is Alberto Rene Maldonado .
The authorized official title is President and has the following contact phone number (502) 456-9214.

The enumeration date for this NPI number is 3/10/2010 and was last updated on 3/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist21106KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K005255OTHERKENTUCKYCHAMPUS
2000000049333OTHERKENTUCKYANTHEM
32432718000OTHERKENTUCKYPASSPORT ADVANTAGE
4C24484MEDICARE UPINKENTUCKY
564211063MEDICAIDKENTUCKY
6100014410AOTHERKENTUCKYMEDICAID OF INDIANA
71049929OTHERKENTUCKYPASSPORT HEALTH PLAN
81423101MEDICARE PINKENTUCKY
9240007602OTHERKENTUCKYPALMETTOGBA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.