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Sam Reddy Kesri, M.D.

Internal Medicine in Bowling Green, KY. Individual provider (NPI-1).

NPI number1477571925
StatusActive
Last updated in NPPESDec 11, 2020

Details

NPI
1477571925
Entity type
Individual (NPI-1)
Name
Mr. Sam Reddy Kesri
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 17, 2006
Certification date
Dec 11, 2020
Last updated
Dec 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine33804KYYes

Other names

  • Shyam Murali Keesari (Former Name)

Practice location

6040 Scottsville Rd
Bowling Green, KY 42104-0388

Phone 270-842-5850 · Fax 270-842-5388

Mailing address

6040 Scottsville Rd
Bowling Green, KY 42104-0388

Phone 270-842-5850 · Fax 270-842-5388

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