Provider Demographics
NPI:1881627669
Name:NADAR, VANI (MD)
Entity type:Individual
Prefix:DR
First Name:VANI
Middle Name:
Last Name:NADAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10303 PLAINS CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3450
Mailing Address - Country:US
Mailing Address - Phone:502-254-7862
Mailing Address - Fax:
Practice Address - Street 1:1013 N DUPONT SQ
Practice Address - Street 2:SUITE A
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4612
Practice Address - Country:US
Practice Address - Phone:502-896-6166
Practice Address - Fax:502-896-6168
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36216207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50002016OtherPASSPORT
KY000000312250OtherANTHEM
KY64042831Medicaid
KY0985801Medicare PIN
KYH47015Medicare UPIN