Doctor Name: | DR. SRINIVAS KETHARAJU |
NPI Number: | 1346416559 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 43564 |
Business Practice Address: | 236 College St Paintsville, KY - 412401098 |
Business Phone Number: | 6067896844 |
Business Fax Number: | 6067894157 |
Mailing Address: | 236 College St, PAINTSVILLE |
State: | KY |
Postal Code: | 412401098 |
Phone Number: | 6067896844 |
Fax Number: | 6067894157 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 43564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |