IndividualActive
Prashant Khullar, M.D.
NPI 1407030950 · Surgical Critical Care Physician · Edgewood, KY
Provider details
- NPI number
- 1407030950
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- RR7990 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 578-5880
Fax: (859) 578-5881
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 635283
Cincinnati, OH 45263-5283
Registry dates
- Enumerated
- 2007-12-19
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.