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Individual

DR. RADHIKA BALA RAMESH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 MEDICAL VILLAGE DR, STE 102, EDGEWOOD, KY 41017-5401
(859) 341-1011
(859) 341-7198
Mailing address
20 MEDICAL VILLAGE DR, STE 102, EDGEWOOD, KY 41017-5401
(859) 341-1011
(859) 341-7198

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31147
KY
208000000X
Pediatrics Physician
35068340
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221063
ANTHEM
01
1203163
UNITED HEALTH CARE OF OH
05
2149124
OH
01
5121039
AETNA
05
64311475
KY
01
8001258003
CIGNA
Enumeration date
02/08/2006
Last updated
07/08/2007
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