Individual
RICARDO BARRIOS MADDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1413 N ELM ST, SUITE 206, HENDERSON, KY 42420
(270) 826-9595
(270) 826-3656
Mailing address
PO BOX 1548, HENDERSON, KY 42419
(270) 826-9595
(270) 826-3656
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64193139
—
KY
Enumeration date
08/20/2006
Last updated
12/22/2009
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