Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 43380 | KY |
Y | 207Q00000X | Family Doctor | 43380 | KY |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 43380 | KY |
NPI | 1205048212 |
---|---|
Provider Name | Dr. Rinit H Pancholi |
First Address | Louisville, KY 40295-0202 |
Second Address | Louisville, KY 40272-3948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 10/12/2018 |