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N THANNOLI PSC NPI 1962579136


NPI Information

NPI: 1962579136
Provider Name: N THANNOLI PSC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
55 THANNOLI DR
SOMERSET, KY
ZIP 42503
Phone: (606) 677-0854
Get Directions

N THANNOLI PSC is a cardiovascular disease internal medicine in Somerset, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. N THANNOLI PSC NPI is 1962579136. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 THANNOLI DR
SOMERSET, KY
ZIP 42503
Phone: (606) 677-0854
Fax: (606) 677-9311

The provider's authorized official is Natarajan Thannoli .
The authorized official title is President Owner and has the following contact phone number (606) 677-0854.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/11/2012.


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
1363L00000XNurse PractitionerNo
2207RC0000XInternal MedicineCardiovascular 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16807MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE GROUP
2DF2752OTHERKENTUCKYRAILROAD MEDICARE GROUP
3000000061076OTHERKENTUCKYBCBC GROUP #
465946147OTHERMEDICAID GROUP #

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: 4/28/2024

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