Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301089488 | MI |
N | 111NI0900X | Internist | 4301089488 | MI |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 54357 | KY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | TP426 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | TP426 | KY |
NPI | 1629268693 |
---|---|
Provider Name | Keerthy K Narisetty |
First Address | Cincinnati, OH 45263-6324 |
Second Address | Edgewood, KY 41017-3403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 21/10/2021 |