Provider Demographics
NPI:1932439064
Name:ASSOCIATES IN GASTROENTEROLOGY PLLC
Entity Type:Organization
Organization Name:ASSOCIATES IN GASTROENTEROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-416-0207
Mailing Address - Street 1:PO BOX 950164
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0164
Mailing Address - Country:US
Mailing Address - Phone:502-814-3170
Mailing Address - Fax:502-814-3196
Practice Address - Street 1:4402 CHURCHMAN AVE
Practice Address - Street 2:SUITE 201, PLAZA I
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-1190
Practice Address - Country:US
Practice Address - Phone:502-416-0207
Practice Address - Fax:502-416-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100127400Medicaid
KY7100127400Medicaid
KYP100027553Medicare PIN