Basic Information
| Provider Information | |||||||||
| NPI: | 1295957215 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANBU K. NADAR M.D., PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 419 TOWN MOUNTAIN RD | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | PIKEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 415011631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064320016 | ||||||||
| FaxNumber: | 6064376369 | ||||||||
| Practice Location | |||||||||
| Address1: | 419 TOWN MOUNTAIN RD | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | PIKEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 415011631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064320016 | ||||||||
| FaxNumber: | 6064376369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 08/19/2009 | ||||||||
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| AuthorizedOfficialLastName: | NADAR | ||||||||
| AuthorizedOfficialFirstName: | ANBU | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6064320016 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 23240 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.