Organization
CUMBERLAND VALLEY PSYCHIATRY PLLC
Active
Organization
CUMBERLAND VALLEY PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIBA RAM MD (OWNER/MEMBER)
(606) 864-0510
Entity
Organization
Contact information
Practice address
202 W 7TH ST, SUITE 113, LONDON, KY 40741-1763
(606) 864-0510
(606) 864-0512
Mailing address
202 W 7TH ST, SUITE 113, LONDON, KY 40741-1763
(606) 864-0510
(606) 864-0512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40211
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542702
BCBS OF KY
KY
05
—
64129547
—
KY
Enumeration date
08/14/2007
Last updated
09/16/2014
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