Ghodasara, Dilip P

Ghodasara, Dilip P is an sole proprietor health care provider with primary practice located at 217 S 3Rd St , Danville KY 40422-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ghodasara, Dilip P can be contacted via phone (859) 335-9041.

Contact Information

Primary practice address
217 S 3Rd St Danville KY 40422-1823
Phone: (859) 335-9041
Fax: (859) 335-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18267 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.077664 Ohio

Profile Details

NPI number 1902822455
LBN Legal business name Ghodasara, Dilip P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Apr 20th, 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 1902822455 NPPES
West Virginia MEDICAID 0078302000
West Virginia Other 1036692
West Virginia MEDICAID 2060442
West Virginia MEDICAID 4401035
West Virginia Other P00212624
West Virginia Other 000000384513
West Virginia Other 001716933

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