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Contact Information

JASEENA ELIKKOTTIL, MD
4805 SOUTHSIDE DR
LOUISVILLE, KY40214-2111
 Phone: 502-772-8860
 Fax: 502-996-8309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Histology

246RH0600X
 

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JASEENA ELIKKOTTIL · (Female)

NPI # 1407096233
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2009
Last updated 08/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 49109
  • MN License # 22544
  • IN Medicaid 201407600
  • KY Medicaid 7100437200
Hospital affiliation(s)
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
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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