Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GOUTHAM HEBBALMATH, MD
ActivePediatrics · CORBIN, KY
Registration Details
- NPI Number
- 1629386701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2010 (15.640551984296 yrs)
- Last Updated
- Sep 8, 2016
- License
-
46189 (KY)
Practice Information
- Address
-
57 SUMMIT DRCORBIN, KY, 407012746Browse KY providers · Browse ZIP 40701
- Phone
- 6065289700
- Fax
- 6065288423
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in CORBIN, KY
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA MARIE BUTLER | M.D. | 1972775559 |
| DR. REBEKAH ELISE BOOTH | M.D. | 1194997502 |
| DR. KENDRA RACHELLE GRAY | DO | 1619436433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.