Healthcare Provider Details

I. General information

NPI: 1497984074
Provider Name (Legal Business Name): PAUL C ADJEI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2009
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MERRITT DR
HENDERSON KY
42420-2788
US

IV. Provider business mailing address

1300 MERRITT DR
HENDERSON KY
42420-2788
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-8600
  • Fax: 812-450-8151
Mailing address:
  • Phone: 812-450-8600
  • Fax: 812-450-8151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number01074894A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD0089944
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number48449
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: