Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 03108 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 036-112052 | IL |
N | 207RI0011X | Interventional Cardiology | 064127 | GA |
NPI | 1093986614 |
---|---|
Provider Name | Sharat Koul |
First Address | Danville, KY 40422-8937 |
Second Address | Danville, KY 40422-8937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2008 |
Last Update Date | 11/06/2013 |