Organization
BLUEGRASS WOMENS HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY TANDON M.D. (PHYSICIAN)
(270) 725-8373
Entity
Organization
Contact information
Practice address
1621 NASHVILLE ST, SUITE 101, RUSSELLVILLE, KY 42276-8871
(270) 725-8373
(270) 725-8375
Mailing address
1621 NASHVILLE ST, SUITE 101, RUSSELLVILLE, KY 42276-8871
(270) 725-8373
(270) 725-8375
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
TP336
KY
Other
Enumeration date
05/31/2006
Last updated
07/01/2008
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