Mrudu Herbert

MD | Pediatric Adolescent Medicine | Female

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Complete Profile:

Mrudu Herbert basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Mrudu Herbert
Credential :	MD
Gender :	Female

Business Address:

Mrudu Herbert address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	740 S Limestone Ste L404 Lexington, KY, 40536-0293 United States
Phone Number :	859-323-5643
Fax Number :	859-323-3795

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1144725052
NPI Entity Type :	Individual
First Enrolment Date :	25 Mar, 2018
Last Updated On :	24 Aug, 2021

Medicare Participation:

Mrudu Herbert participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5597093120
Medicare Enrollment ID :	I20210915004083
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2008
Accepts Medicare?	Yes. Mrudu Herbert accepts medicare insurance.

Group Practice Association:

Mrudu Herbert is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mrudu Herbert is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Kentucky Medical Services Foundation, Inc	5698689909	779	740 S Limestone St Lexington, KY - 405081683 Ph: 8592578562	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrudu Herbert are as mentioned. Primary taxonomy code for Mrudu Herbert, MD is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No
2080A0000X	Pediatrics Adolescent Medicine	Yes	55491	KY

Other Practice Locations:

Practice Address	City, State	Phone Number
800 ROSE ST RM MN-118, LEXINGTON, KY, 40536-0293 United States	LEXINGTON, KY	859-323-6183

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	800 Rose St Rm Mn-118 Lexington, KY, 40536-0293 United States
Phone Number :	859-323-6183
Fax Number :	859-323-6183

Business Location:

Patients can refer following map for directions to Mrudu Herbert practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.