Seshabhattar, Praveen

Seshabhattar, Praveen is an individual health care provider with primary practice located at 1850 Bluegrass Ave Hips Dept, Louisville KY 40215-1161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Seshabhattar, Praveen can be contacted via phone (502) 367-3360.

Contact Information

Primary practice address
1850 Bluegrass Ave Hips Dept Louisville KY 40215-1161
Phone: (502) 367-3360
Fax: (502) 367-3365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35087541 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 42999 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42999 Kentucky

Profile Details

NPI number 1043263346
LBN Legal business name Seshabhattar, Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 9th, 2023 - about last year

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 1043263346 NPPES
Indiana MEDICAID 201062650
Indiana MEDICAID 7100154080
Indiana MEDICAID PENDING

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