Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 30987 | KY |
Y | 2084N0402X | Child Neurologist | 30987 | KY |
NPI | 1275531345 |
---|---|
Provider Name | Vinay Puri |
First Address | Louisville, KY 40202-5700 |
Second Address | Louisville, KY 40202-1835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 03/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64309875 | (05) | KY |
G10735 | (02) |