Organization Name: | APPALACHIAN PHYSICIANS PSC |
NPI Number: | 1033141593 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEEPAK SRIVASTAVA (PRESIDENT) |
Mailing Address: | 48 Daniel Boone Plz Hazard |
State: | KY US |
Postal Code: | 417015334 |
Phone Number: | 6064879999 |
Fax Number: | 6064879179 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |