Individual
DR. PRATHAP BANDIPALLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2688 PINK PIGEON PKWY, 225, LEXINGTON, KY 40509-2258
(646) 884-2611
Mailing address
2688 PINK PIGEON PKWY, #225,, LEXINGTON, KY 40509-2258
(646) 884-2611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40576
WI
207R00000X
Internal Medicine Physician
4301067795
MI
207R00000X
Internal Medicine Physician
Primary
43267
KY
Other
Enumeration date
07/23/2014
Last updated
01/23/2015
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