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Contact Information

HAREEPRASAD R VONGOORU, MD
711 MEDICAL VILLAGE DR
EDGEWOOD, KY41017-3439
 Phone: 859-301-0124
 Fax: 859-301-0699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HAREEPRASAD R VONGOORU · (Male)

NPI # 1407045693
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2007
Last updated 11/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 42675
Hospital affiliation(s)
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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