Provider Demographics
NPI:1578535720
Name:JOSEPH, UDAYA GEETHA (MD)
Entity Type:Individual
Prefix:
First Name:UDAYA
Middle Name:GEETHA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2700 STANLEY GAULT PKWY
Mailing Address - Street 2:STE 129
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5176
Mailing Address - Country:US
Mailing Address - Phone:502-253-4917
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:4003 KRESGE WAY
Practice Address - Street 2:STE 500
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-897-1166
Practice Address - Fax:502-897-1461
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2020-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY22760207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3770412000OtherPASSPORT ADVANTAGE
KY50027642OtherPASSPORT
KY64227606Medicaid
KY000000652532OtherANTHEM
KY3770412000OtherPASSPORT ADVANTAGE
KY64227606Medicaid