Yakkanti, Madhusudhan R
Yakkanti, Madhusudhan R is an individual health care provider with primary practice located at 3920 Dutchmans Ln Ste 310 , Louisville KY 40207-4702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Yakkanti, Madhusudhan R can be contacted via phone (502) 259-6888.Contact Information
Primary practice address
3920 Dutchmans Ln Ste 310
Louisville KY 40207-4702
Phone: (502) 259-6888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 01075275A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 40767 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 40767 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01075275A | Indiana |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 01075275A | Indiana |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 40767 | Kentucky |
Profile Details
| NPI number | 1740337930 |
|---|---|
| LBN Legal business name | Yakkanti, Madhusudhan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 14th, 2024 - about 4 months 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 | 1740337930 | NPPES |
| Indiana | MEDICAID | 200870310 | |
| Indiana | Other | 50015260 | |
| Indiana | Other | 2851482000 | |
| Indiana | MEDICAID | 7100003910 | |
| Indiana | Other | 7492940 | |
| Indiana | Other | P00399786 | |
| Indiana | Other | 000000516385 | |
| Indiana | Other | P200468583 |
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