# RAO S. BHATRAJU, MD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053582726
- **Authorized official:** DR. RAO S BHATRAJU M.D. (OWNER)
- **Authorized official phone:** (606) 432-0168

## Contact information

- **Practice address:** 180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
- **Practice address phone:** (606) 432-0168
- **Practice address fax:** (606) 432-0639
- **Mailing address:** 180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
- **Mailing address phone:** (606) 432-0168
- **Mailing address fax:** (606) 432-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 27559 | KY | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/20/2008

## 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 |