Individual
MICHAEL G. RUKAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 NICHOLASVILLE RD STE 402, LEXINGTON, KY 40503-1444
(859) 278-0383
(859) 278-0316
Mailing address
1760 NICHOLASVILLE RD STE 402, LEXINGTON, KY 40503-1444
(859) 278-0383
(859) 278-0316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29562
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
29562
KY
207RI0011X
Interventional Cardiology Physician
Primary
29562
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060019845
RAILROAD MEDICARE
KY
05
—
6429562900
—
KY
Enumeration date
07/06/2006
Last updated
03/17/2018
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