DR. M.D. Emmanuel Abraham Nidhiry, NPI 1255383162
Hematology & Oncology Physician in Russell Springs, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1255383162
NPI Entity Type Individual
Provider Name DR. M.D. Emmanuel Abraham Nidhiry
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 169 Jt Pettey Dr, Russell Springs, KY, US
Provider Mailing Address 520 Techwood Drive, Suite 100, Danville, KY, US, 404228500
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 41532
License State KY
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

DR. M.D. Emmanuel Abraham Nidhiry
169 Jt Pettey Dr

Russell Springs, KY, US

Phone: 270-866-7900
Fax: 270-866-7935

Mailing Address

DR. M.D. Emmanuel Abraham Nidhiry
520 Techwood Drive
Suite 100
Danville, KY, US
ZIP 404228500
Phone: 859-936-9844
Fax: 859-238-2206

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RH0003X

Allopathic & Osteopathic Physicians

Internal Medicine

D0057545 MD No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
207RH0003X TRICARE 01
000000547932 KY ANTHEM 01
C24052 KY CUMBERLAND HEALTHCARE 01
699052500 MD MEDICAID 05
000000547932 ANTHEM BCBS 01
000000547932 KY ANTHEM BC/CS 01
87091 KY COVENTRYCARES OF KENTUCKY 01
207RH0003X UNITED HEALTHCARE 01

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Organization

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DO John M Fleming

Individual

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911 Bypass Rd Bldg A

Pikeville, KY

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