Doctor Name: | DR. BRAHMAJI S. PURAM |
NPI Number: | 1174537450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 28582 |
Business Practice Address: | 419 Town Mountain Rd Suite 202 Professional Associates Bldg Pikeville, KY - 415011631 |
Business Phone Number: | 6064326162 |
Business Fax Number: | 6064326142 |
Mailing Address: | 419 Town Mountain Rd, Suite 202 Professional Associates Bldg PIKEVILLE |
State: | KY |
Postal Code: | 415011631 |
Phone Number: | 6064326162 |
Fax Number: | 6064326142 |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 05/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 28582 |
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. |