Individual
ANUPAMA RAGHURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S JACKSON ST FL 2, LOUISVILLE, KY 40202-1622
(502) 561-8844
(502) 589-5093
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 561-8844
(502) 589-5093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122096
IL
207RI0200X
Infectious Disease Physician
Primary
45624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100227690
—
KY
Enumeration date
03/21/2007
Last updated
06/24/2021
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