VIJAYALAKSHMI KASUNGANTI RAO


Address: 3000 Ash Ave, Pewee Valley, KY 40056
Phone: 5022418454

VIJAYALAKSHMI KASUNGANTI RAO (NPI# 1356503619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356503619
Entity Type Individual
Full Name VIJAYALAKSHMI KASUNGANTI RAO
Credential MD
Practice Address 3000 Ash Ave
Pewee Valley
KY 40056
Mailing Address 1502 Autumn Ridge Rd
Louisville
KY 40242-3815
Practice Telephone 5022418454
Practice Fax Number 5022413067
Mailing Telephone 5027423878
Enumeration Date 2008-06-27
Last Update Date 2008-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 38016 KY Allopathic & Osteopathic Physicians

Office Location

Street Address 3000 ASH AVE
City PEWEE VALLEY
State KY
Zip Code 40056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194987438 Denise Ann Burkett Nurse Practitioner 3000 Ash Ave, Pewee Valley, KY 40056 2008-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497185631 Marlana Welch Bragg Psychologist 3000 Ash Ave., Louisville, KY 40056 2013-11-26
1598197246 Friendship Health & Rehab, LLC Skilled Nursing Facility 7400 Lagrange Road, Peewee Valley, KY 40056 2013-08-05
1861650699 Steven C Applegate Psc Specialist 304 Mount Mercy Dr, Pewee Valley, KY 40056-8020 2008-05-29
1225426299 Kevin Campbell Nurse Practitioner 304 Mount Mercy Dr, Pewee Valley, KY 40056-8020 2014-12-29
1952926867 Angela Hall Marriage & Family Therapist 220 Mount Mercy Dr # 4, Pewee Valley, KY 40056-8024 2020-06-16
1538235353 Catherine Howe Middleton Dentist 7608 W Highway 146, Suite 200, Pewee Valley, KY 40056-8100 2006-11-24
1538397989 Abshier Dental Care, Pllc, Wil M. Abshier, Jr., D.m.d. Clinic/Center 7608 W Highway 146, Suite 200, Pewee Valley, KY 40056-8100 2009-06-24
1285889584 Wilmer M Abshier Jr. Dentist 7608 W Highway 146, Suite 200, Pewee Valley, KY 40056-8100 2008-12-01
1477577146 Tina Esterle Boyle Audiologist 7600 W Highway 146, Suite 300, Pewee Valley, KY 40056-8109 2006-07-27
1972613263 The Hearing Shoppe LLC Audiologist 7600 W Highway 146, Suite 300, Pewee Valley, KY 40056-8109 2006-08-30
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1689214454 Superior Healthcare Pllc General Practice 7560 Us Highway 42 Ste B, Florence, KY 41042-1908 2020-01-09
1144876814 You Only Live Once Medical General Practice 821 Ulrich Ave, Louisville, KY 40219-1844 2019-08-17
1760979124 Healthy Living Primary Care General Practice 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 2018-04-20
1649775586 Landmark Medical of Kentucky, Psc General Practice 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 2018-03-23
1639603145 Charita Weathers General Practice 401 East Chestnut, Ste 610, Louisville, KY 40202 2017-04-12
1881146033 Alliance Health Care, LLC General Practice 1710 D State Route 121 North, Murray, KY 42071 2016-11-03
1528519113 A New Journey General Practice 4100 Cadillac Ct, Louisville, KY 40213-1591 2016-10-18
1013381441 Veloz Medical Services Corp General Practice 6911 Shepherdsville Rd, Louisville, KY 40219-2211 2015-11-23
1407229545 Fern Medical and Rehab Corp General Practice 5520 Fern Valley Rd, 107, Louisville, KY 40228-1087 2015-11-12
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Competitor

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City PEWEE VALLEY
Zip Code 40056

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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