# BLUEGRASS WOMENS HEALTH, PLLC

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

## Provider details

- **NPI number:** 1477500668
- **Authorized official:** SANJAY TANDON M.D. (PHYSICIAN)
- **Authorized official phone:** (270) 725-8373

## Contact information

- **Practice address:** 1621 NASHVILLE ST, SUITE 101, RUSSELLVILLE, KY 42276-8871
- **Practice address phone:** (270) 725-8373
- **Practice address fax:** (270) 725-8375
- **Mailing address:** 1621 NASHVILLE ST, SUITE 101, RUSSELLVILLE, KY 42276-8871
- **Mailing address phone:** (270) 725-8373
- **Mailing address fax:** (270) 725-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | TP336 | KY | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 07/01/2008