Individual
RUDRA PAMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2160
Mailing address
1500 E MEDICAL CENTER DR, 2110 TAUBMAN CENTER, ANN ARBOR, MI 48109-5346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
55778
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
55778
KY
Other
Enumeration date
05/25/2016
Last updated
04/25/2022
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