person
Mr. Gershom Lundberg, MD
Diagnostic Radiology Physician in Paducah, Kentucky
NPI 1477633139

Gershom Lundberg is a Diagnostic Radiology Physician based in Paducah, KY and is specialized in Diagnostic Radiology. Gershom Lundberg practices in Paducah, KY and has the professional credentials of MD. The NPI Number for Gershom Lundberg is 1477633139 and holds a License No. 27871 (Kentucky).

The current practice location address for Gershom Lundberg is 2421 Broadway St, Paducah, KY and can be reached out via phone at 270-450-6217 and via fax at 270-450-6731. You can also correspond with Gershom Lundberg through the mailing address at 2421 BROADWAY ST, PADUCAH, KY - 42001-7115 (mailing address contact number: 270-450-6217).

Location: 2421 Broadway St, Paducah, KY, 42001-7115
person
Provider Profile Details
NPI Number
1477633139
Provider Name
Gershom Lundberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2421 Broadway St, Paducah, KY, 42001-7115
Phone Number
270-450-6217
Fax Number
270-450-6731
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4338691 01 KY AETNA
150821 01 KY MEDICARE FDA #
1600014 01 KY UHC
193333 01 KY HEALTHLINK
5128682 01 KY CCN
000000068647 01 KY BCBS
K004228 01 KY TRICARE
300019111 01 KY RR MEDICARE
64278716 05 KY
institution
Provider Business Practice Location Address Details
Address
2421 Broadway St
City
State
Zip
42001-7115
Phone Number
270-450-6217
Fax Number
270-450-6731
person
Provider Business Mailing Address Details
Address
2421 Broadway St
City
State
Zip
42001-7115
Phone Number
270-450-6217
Fax Number
270-450-6731
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
27871 (Kentucky)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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