Doctor Name: | DR. RAGHURAM S MODUR |
NPI Number: | 1528052214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20702 |
Business Practice Address: | 911 Bypass Rd Leonard Lawson Cancer Center Pikeville, KY - 41501 |
Business Phone Number: | 6064373516 |
Business Fax Number: | 6062184912 |
Mailing Address: | Po Box 2652, PIKEVILLE |
State: | KY |
Postal Code: | 41502 |
Phone Number: | 6064373516 |
Fax Number: | 6062184912 |
NPI Enumeration Date: | 09/08/2005 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 20702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |