Individual
RAO S BHATRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
(606) 432-0168
(606) 432-0639
Mailing address
180 TOWN MOUNTAIN RD, SUITE 111, PIKEVILLE, KY 41501-1698
(606) 432-0168
(606) 432-0639
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27559
KY
208C00000X
Colon & Rectal Surgery Physician
27559
KY
208D00000X
General Practice Physician
27559
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
27559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050525
BC/BS OF KY
KY
01
—
000136105
BS/BS OF TENN
TN
01
—
006895400
FEDERAL BLACK LUNG
KY
05
—
0125158000
—
WV
01
—
098169
BS/BS OF VA
VA
01
—
1409437
UMWA FUNDS
KY
05
—
35000827
—
KY
05
—
64275597
—
KY
01
—
K010543
CHAMPUS
KY
Enumeration date
06/22/2005
Last updated
08/13/2008
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