Ricardo B Maddela Md Psc

LBN: Ricardo B Maddela Md Psc
Ricardo B Maddela Md Psc is an health care organization with primary practice located at 1413 N Elm St , Henderson KY 42420-2768. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Ricardo B Maddela Md Psc can be contacted via phone (270) 826-9595, or through Nunn, Michelle Lynn via phone 27088269595.

Contact Information

Primary practice address
1413 N Elm St Henderson KY 42420-2768
Phone: (270) 826-9595
Fax: (270) 826-3656
Website:
Map and Directions
Authorized official contact:
Name: Nunn, Michelle Lynn
Phone: 27088269595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1508168972
LBN Legal business name Ricardo B Maddela Md Psc
DBA Doing business as
Authorized official Nunn, Michelle Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2010
Last updated Nov 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508168972 NPPES
Kentucky MEDICAID 64193139

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