MR. MAHENDRA C MARU


Address: 1930 E Parrish Ave, Owensboro, KY 42303-1443
Phone: 2706891919

MR. MAHENDRA C MARU (NPI# 1891792818) 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) 1891792818
Entity Type Individual
Full Name MR. MAHENDRA C MARU
Credential M.D.
Practice Address 1930 E Parrish Ave
Owensboro
KY 42303-1443
Practice Telephone 2706891919
Practice Fax Number 2706891990
Mailing Telephone 2706891919
Mailing Fax Number 2706891990
Enumeration Date 2005-07-05
Last Update Date 2015-06-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 33042 KY Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
33042 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000067006 01
KY 64330426 05
IN ANTHEM PIN 000000067006 01
IN RAILROAD MEDICARE CJ7612 01
IN 200145790 05
KY RAILROAD MEDICARE CJ7612 01

Office Location

Street Address 1930 E PARRISH AVE
City OWENSBORO
State KY
Zip Code 42303-1443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912196643 Wanda Lynn Winkler Clinical Nurse Specialist 1930 E Parrish Ave, Owensboro, KY 42303-1443 2007-10-18
1215142401 Imran Dosani Internal Medicine 1930 E Parrish Ave, Owensboro, KY 42303-1443 2007-05-11
1952498347 Ohio Valley Nephrology Associates Psc Nurse Practitioner 1930 E Parrish Ave, Owensboro, KY 42303-1443 2006-10-06
1861434565 Dhiren M Haria Internal Medicine 1930 E Parrish Ave, Owensboro, KY 42303-1443 2006-06-10
1730149170 Renal Treatment Centers Illinois Inc Clinic/Center 1930 E Parrish Ave, Owensboro, KY 42303-1443 2006-03-27
1093712952 Mohammad Bashar Mourad Internal Medicine 1930 E Parrish Ave, Owensboro, KY 42303-1443 2005-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881218121 Strive Health Ky LLC Clinic/Center 4511 Springhill Road, Owensboro, KY 42303 2020-06-02
1952921991 Carl P Lewis Pharmacist Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 2020-04-20
1386292621 Alexandra Freudenberg Occupational Therapist 2605 New Hartford Road, Owensboro, KY 42303 2019-08-29
1457843815 Deaconess Clinic Inc Family Medicine 2710 Heartland Crossing Blvd, Owensboro, KY 42303 2018-06-01
1225525520 Claudia Abrams Nurse Practitioner 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 2018-04-23
1245751965 Play Works Pediatric Therapy Early Intervention Provider Agency 4551 Indian Creek Loop, Owensboro, KY 42303 2017-07-03
1518490952 Sue Lindsey Social Worker 1100 Walnut St., Owensboro, KY 42303 2017-04-04
1972034163 Megan Nichole Meredith Counselor 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 2017-03-21
1275077786 Physicians Affiliated Care, Psc Family Medicine 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 2016-12-19
1790168516 Kelli D. Brown Nurse Practitioner 2816 Veach Rd Ste 403, Owensboro, KY 42303 2015-06-30
Find all providers in zip 42303

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124665807 Means Adult Primary Care Clinic of Kentucky Pllc Internal Medicine 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 2019-12-02
1932587300 Hopkinsville Kidney Care Pllc Internal Medicine 215 Burley Ave, Suite 2, Hopkinsville, KY 42240-8725 2015-05-18
1124419668 Hardin County Primary Care Pllc Internal Medicine 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 2015-02-05
1245641307 Mustafa S Mawih Internal Medicine 830 Thomas More Pkwy Ste 200, Edgewood, KY 41017-5103 2014-05-12
1174784466 Jennifer Hughes Shuemaker Internal Medicine 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 2008-06-19
1518138759 Muhammad Irfan Atiq Internal Medicine 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 2008-03-16
1881874592 Eastern Kentucky Kidney Care, Psc Internal Medicine 141 Weddington Branch Rd, Pikeville, KY 41501-3204 2007-11-09
1932398120 Sujata Reddy, Md., Pllc Internal Medicine 930 Happy Valley Rd, Glasgow, KY 42141-1332 2007-10-24
1316136567 Elisha Lancaster Internal Medicine 830 Thomas More Parkway, Ste 202, Edgewood, KY 41017 2007-10-23
1881887685 Hania Kassem Internal Medicine 716 W. Broadway, Louisville, KY 40202-2216 2007-08-24
Find all providers with the same taxonomy

Competitor

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City OWENSBORO
Zip Code 42303

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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