Individual
DR. BHAGYALAXMI RUDRAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S JACKSON ST, FIRST FLOOR, LOUISVILLE, KY 40202-1622
(502) 852-1806
Mailing address
5125 CRAIGS CREEK DR, LOUISVILLE, KY 40241-4863
(502) 493-4583
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
40065
KY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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