Suresh, Damodhar Pattabiraman
Suresh, Damodhar Pattabiraman is an individual health care provider with primary practice located at 711 Medical Village Dr , Edgewood KY 41017-3439. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Suresh, Damodhar Pattabiraman can be contacted via phone (859) 287-3045.Contact Information
Primary practice address
711 Medical Village Dr
Edgewood KY 41017-3439
Phone: (859) 287-3045
Fax: (859) 578-3800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 37142 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35-06-8603-S | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 37142 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01085789A | Indiana |
Profile Details
| NPI number | 1356348346 |
|---|---|
| LBN Legal business name | Suresh, Damodhar Pattabiraman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | May 19th, 2022 - about 3 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 | 1356348346 | NPPES |
| Kentucky | Other | 0369016 | MEDICARE |
| Kentucky | Other | 0562616 | MEDICARE |
| Kentucky | Other | 0969497 | MEDICARE |
| Kentucky | MEDICAID | 64962830 | MEDICARE |
| Kentucky | Other | 060067789 | MEDICARE |
| Kentucky | Other | 611300608064 | MEDICARE |
| Kentucky | MEDICAID | 2000420 | MEDICARE |
| Kentucky | Other | P00893681 | MEDICARE |
| Kentucky | Other | P00922859 | MEDICARE |
| Kentucky | Other | 50024711 | MEDICARE |
| Kentucky | Other | 0369209 | MEDICARE |
Popular Providers
-
Galli, Frank C
2490 Hospital Dr Suite 311, Mountain View CA 94040 -
Mulvihill, Daniel F
15611 Pomerado Rd Suite 580, Poway CA 92064-2437 -
Houlihan, Paul Gregory
711 Medical Village Dr , Edgewood KY 41017 -
Pratsos, Antonis
1999 Sproul Rd Ste 21, Broomall PA 19008-3508 -
Bemis, Charles E.
1650 Huntingdon Pike Ste 352, Meadowbrook PA 19046-8009 -
Lierl, Jerry Joseph
20 Medical Village Dr Ste. 177, Edgewood KY 41017-5401 -
Peterson, Benjamin Evans
711 Medical Village Dr , Edgewood KY 41017-3439 -
Ishola, Abiodun Olayinka
711 Medical Village Dr , Edgewood KY 41017-3439