Geevarghese, Kunnathu P.

Geevarghese, Kunnathu P. is an individual health care provider with primary practice located at 4402 Churchman Ave Suite 302, Louisville KY 40215-1190. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Geevarghese, Kunnathu P. can be contacted via phone (502) 366-7317.

Contact Information

Primary practice address
4402 Churchman Ave Suite 302 Louisville KY 40215-1190
Phone: (502) 366-7317
Fax: (502) 366-7318
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 16440 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 16440 Kentucky

Profile Details

NPI number 1417040742
LBN Legal business name Geevarghese, Kunnathu P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Sep 18th, 2015 - about 9 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 1417040742 NPPES
Other 1131109 PASSPORT
Other 050078005 PASSPORT
Other C3647401 PASSPORT
Other 000000187640 PASSPORT
Other 000000187640 PASSPORT
Other 40090988000 PASSPORT
MEDICAID 64164403 PASSPORT
Other 2437681000 PASSPORT
Other 000000187640 PASSPORT
Other 0004012479 PASSPORT
Other 000000187460 PASSPORT
Other 000000187640 PASSPORT
Other 64164403 PASSPORT

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