Amg of Kentuckiana Medical Center LLC

Organization Active NPI Anesthesiology Physician · Clarksville, IN

NPI 1700237609 · NPPES record last updated Jul 11, 2016

Key facts

NPI
1700237609
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
AMG OF KENTUCKIANA MEDICAL CENTER LLC
Practice address
4601 Medical Plaza Way
Clarksville, IN 47129-9204
Phone
(812) 284-6100
NPI assigned
Jun 22, 2016
Organization subpart
No

Authorized official

Name
Nirmal Joshi, MD
Title
Member/Manager
Phone
(812) 629-5089

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

4601 Medical Plaza Way
Clarksville, IN 47129-9204

Mailing address

PO Box 3684
Springfield, IL 62708-3684
Phone (941) 360-1566

Other providers in Clarksville, IN

All providers in Clarksville, IN · Anesthesiology Physician in Indiana

Sources for this page

Verify at the official NPI Registry.