Provider Demographics
NPI:1154467397
Name:ASHUTOSH S LOHE MD PSC
Entity Type:Organization
Organization Name:ASHUTOSH S LOHE MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHUTOSH
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-545-6491
Mailing Address - Street 1:315 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906
Mailing Address - Country:US
Mailing Address - Phone:606-545-6491
Mailing Address - Fax:606-545-0342
Practice Address - Street 1:315 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906
Practice Address - Country:US
Practice Address - Phone:606-545-6491
Practice Address - Fax:606-545-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31703207RN0300X
KY38625207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYDC8863OtherRAILROAD MEDICARE
KY65943276Medicaid
KY65943276Medicaid