Provider Demographics
NPI:1467486498
Name:ANKEM, MURALI K (MD)
Entity Type:Individual
Prefix:DR
First Name:MURALI
Middle Name:K
Last Name:ANKEM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:234 E GRAY ST
Mailing Address - Street 2:STE. 662
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1900
Mailing Address - Country:US
Mailing Address - Phone:502-629-4424
Mailing Address - Fax:502-629-4223
Practice Address - Street 1:234 E GRAY ST
Practice Address - Street 2:STE. 662
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1900
Practice Address - Country:US
Practice Address - Phone:502-629-4224
Practice Address - Fax:502-629-4223
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-04-12
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Provider Licenses
StateLicense IDTaxonomies
KY44537208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0153451Medicaid
LA1474703Medicaid
IN201051040Medicaid
KY7100189110Medicaid
KYK028351Medicare PIN