Organization
SUSAN RAGHAVAN, MD
Active
Organization
SUSAN RAGHAVAN, MD
Active
Other names
Childrens Diabetes and Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE MINSTERKETTER (BILLING DEPT)
(502) 327-9703
Entity
Organization
Contact information
Practice address
9720 PARK PLAZA AVE UNIT 202, LOUISVILLE, KY 40241-2290
(502) 327-9703
(502) 327-9798
Mailing address
9720 PARK PLAZA AVE UNIT 202, LOUISVILLE, KY 40241-2290
(502) 327-9703
(502) 327-9798
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
34555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080P0205X
PEDIATRIC ENDOCRINOLOGY
KY
05
—
64880008
—
KY
Enumeration date
09/26/2013
Last updated
09/26/2013
Update your record
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