Organization Name: | RAO S. BHATRAJU, MD, PSC |
NPI Number: | 1053582726 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAO S BHATRAJU (OWNER) |
Mailing Address: | 180 Town Mountain Rd Suite 111 Pikeville |
State: | KY US |
Postal Code: | 415011698 |
Phone Number: | 6064320168 |
Fax Number: | 6064320639 |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 03/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 27559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |