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).
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 |
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 |
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 |
Street Address |
1930 E PARRISH AVE |
City | OWENSBORO |
State | KY |
Zip Code | 42303-1443 |
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 |
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 Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
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 |
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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.