person
Surya Boopathy, MD
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1689137234

Surya Boopathy is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Surya Boopathy practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Surya Boopathy is 1689137234 and holds a License No. (Kentucky).

The current practice location address for Surya Boopathy is 550 S Jackson St Fl 3, Louisville, KY and can be reached out via phone at 502-852-5841.

Location: 550 S Jackson St Fl 3, Louisville, KY, 40202-1622
person
Provider Profile Details
NPI Number
1689137234
Provider Name
Surya Boopathy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
550 S Jackson St Fl 3, Louisville, KY, 40202-1622
Phone Number
502-852-5841
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689137234 01 NPI
institution
Provider Business Practice Location Address Details
Address
550 S Jackson St Fl 3
City
State
Zip
40202-1622
Phone Number
502-852-5841
Fax Number
person
Provider Business Mailing Address Details
Address
550 S Jackson St Fl 3
City
State
Zip
40202-1622
Phone Number
502-852-5841
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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