Organization Active NPI

Indar M. Jhamb, M.D.

  • Allergy & Immunology Physician
  • Bowling Green, KY
National Provider Identifier
1790983377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
20856 Issued in KY
Legal business name
INDAR M. JHAMB, M.D.
Practice address
1217 Ashley Cir
Bowling Green, KY 42104-3383
Phone
(270) 782-3237
Fax
(270) 782-1412
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Indar Mohan Jhamb, M.D.NPI 1790876407
Title
Medical Doctor
Phone
(270) 782-3237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 20856 KY Primary

Addresses

Primary practice location

1217 Ashley Cir
Bowling Green, KY 42104-3383

Mailing address

1217 Ashley Cir
Bowling Green, KY 42104-3383
Phone (270) 782-3237

Other identifiers 1

IdentifierTypeStateIssuer
45641453OtherKYEPSDT

National Provider Directory

National Provider Directory

Locations

1217 Ashley Cir
Bowling Green, KY 42104
Phone (270) 782-3237

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790983377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043383",
            "telephone_number": "270-782-3237",
            "fax_number": "270-782-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043383",
            "telephone_number": "270-782-3237",
            "fax_number": "270-782-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDAR M. JHAMB, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JHAMB",
        "authorized_official_first_name": "INDAR",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "270-782-3237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "20856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "45641453",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.