| Organization Name: | APPALACHIAN PHYSICIANS PSC |
| NPI Number: | 1518992023 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEEPAK SRIVASTAVA (PRESIDENT) |
| Mailing Address: | 21154 Highway 421 Ste A Hyden |
| State: | KY US |
| Postal Code: | 417498553 |
| Phone Number: | 6066721144 |
| Fax Number: | 6066721145 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 04/17/2013 |
| 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: | |