Mysore, Sathyendra R
Mysore, Sathyendra R is an individual health care provider with primary practice located at 1001 Saint Joseph Ln , London KY 40741-8345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mysore, Sathyendra R can be contacted via phone (606) 330-6000.Contact Information
Primary practice address
1001 Saint Joseph Ln
London KY 40741-8345
Phone: (606) 330-6000
Fax: (606) 330-7825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36943 | Kentucky |
Profile Details
| NPI number | 1962476200 |
|---|---|
| LBN Legal business name | Mysore, Sathyendra R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jan 22nd, 2013 - about 11 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 | 1962476200 | NPPES |
| Kentucky | Other | 61-1427889 | CHA |
| Kentucky | Other | 61-1427889 | CHA |
| Kentucky | Other | 61-1427889 | CHA |
| Kentucky | Other | 61-1427889 | CHA |
| Kentucky | Other | 61-1427889 | CHA |
| Kentucky | Other | 030670000 | CHA |
| Kentucky | Other | 50005320 | CHA |
| Kentucky | MEDICAID | 64060783 | CHA |
| Kentucky | Other | 000000378002 | CHA |
| Kentucky | Other | C20852 | CHA |
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