Organization
PATHAK & PATHAK, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDRA A PATHAK M.D. (PRESIDENT)
(270) 726-8411
Entity
Organization
Contact information
Practice address
1527 NASHVILLE ST, RUSSELLVILLE, KY 42276-8851
(270) 726-9811
(270) 726-6217
Mailing address
1527 NASHVILLE ST, P O BOX 597, RUSSELLVILLE, KY 42276-8851
(270) 726-9811
(270) 726-6217
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
19221
KY
208600000X
Surgery Physician
Primary
19220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64192206
—
KY
Enumeration date
05/11/2007
Last updated
09/11/2025
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