Mathu-Muju, Kavita R

Mathu-Muju, Kavita R is an individual health care provider with primary practice located at 800 Rose St D104, Lexington KY 40536-0297. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Mathu-Muju, Kavita R can be contacted via phone (859) 323-6261.

Contact Information

Primary practice address
800 Rose St D104 Lexington KY 40536-0297
Phone: (859) 323-6261
Fax: (859) 323-2306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8428 Kentucky

Profile Details

NPI number 1225135973
LBN Legal business name Mathu-Muju, Kavita R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 9th, 2010 - about 14 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 1225135973 NPPES
Kentucky MEDICAID 7100006570

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