Moodumane, Indira
Moodumane, Indira is an individual health care provider with primary practice located at 809 Meyers Baker Rd Suite 1, London KY 40741-3025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Moodumane, Indira can be contacted via phone (606) 864-7337.Contact Information
Primary practice address
809 Meyers Baker Rd Suite 1
London KY 40741-3025
Phone: (606) 864-7337
Fax: (606) 878-3257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36054 | Kentucky |
| Other Service Providers / Specialist | 174400000X | 36054 | Kentucky |
Profile Details
| NPI number | 1639181340 |
|---|---|
| LBN Legal business name | Moodumane, Indira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Oct 23rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639181340 | NPPES |
| Kentucky | MEDICAID | 64039019 |
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