Provider Demographics
NPI:1487847026
Name:N.PUROHIT MD INC D/B/A AMERICAN AMBULATORY HEALTH ASSO.
Entity Type:Organization
Organization Name:N.PUROHIT MD INC D/B/A AMERICAN AMBULATORY HEALTH ASSO.
Other - Org Name:AMERICAN AMBULATORY HEALTH ASSO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NILKHANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:PUROHIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-237-6000
Mailing Address - Street 1:210 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH WILLIAMSON
Mailing Address - State:KY
Mailing Address - Zip Code:41503-4135
Mailing Address - Country:US
Mailing Address - Phone:606-237-6000
Mailing Address - Fax:606-237-8357
Practice Address - Street 1:210 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSON
Practice Address - State:KY
Practice Address - Zip Code:41503-4135
Practice Address - Country:US
Practice Address - Phone:606-237-6000
Practice Address - Fax:606-237-8357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65932675Medicaid
KY65932675Medicaid
KY1483301Medicare PIN