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Organization
RAO S. BHATRAJU, MD, PSC
Active
Organization
RAO S. BHATRAJU, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAO S BHATRAJU M.D. (OWNER)
(606) 432-0168
Entity
Organization
Contact information
Practice address
180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
(606) 432-0168
(606) 432-0639
Mailing address
180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
(606) 432-0168
(606) 432-0639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050525
BC/BS OF KY
KY
01
—
0125158000
WV MEDICAID
WV
01
—
098169
BS/BS OF VA
VA
01
—
1409437
UMWA FUNDS
KY
05
—
64275597
—
KY
01
—
K010543
CHAMPUS
KY
Enumeration date
03/20/2008
Last updated
03/20/2008
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