MEDICARE: SAVITHA SENTHILKUMAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	38940	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00612410	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	086962	OTHER	KY	SIHO
2	000000517947	OTHER	KY	ANTHEM

General Provider Information

NPI Number	:	1265422042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVITHA SENTHILKUMAR MD

Provider Business Mailing Address
First Line	:	PO BOX BIX # 776351
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6351
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	1930 BISHOP LN
Second Line	:	SUITE 1017
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1921
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	09/21/2022

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Directions to “ SAVITHA SENTHILKUMAR MD” Practice Location

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