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Contact Information

MAHESH R KUDRIMOTI, MD
17525 GREENDALE PLAZA DR
GREENDALE, IN47025-8299
 Phone: 859-301-2238
 Fax: 859-301-4946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for MAHESH R KUDRIMOTI · (Male)

NPI # 1881627859
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 05/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01090145A
  • KY License # 36014
  • KY Medicaid 64034028
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
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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