Individual
SRAVYA BRAHMANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
(937) 208-8828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52636
KY
207RP1001X
Pulmonary Disease Physician
Primary
52636
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/13/2023
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