Healthcare Provider Details

I. General information

NPI: 1578635074
Provider Name (Legal Business Name): VIVEKANAND S NEGINHAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 COLUMNS PLAZA DR
GLASGOW KY
42141-8068
US

IV. Provider business mailing address

PO BOX 645996
CINCINNATI OH
45264-5996
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-9390
  • Fax: 270-651-1406
Mailing address:
  • Phone: 270-651-4444
  • Fax: 270-651-4892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number22591
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number22591
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: