Individual
DR. RYAN SHASTRI RABILALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 DIXIE HWY STE 133, LOUISVILLE, KY 40258-3952
(502) 937-3864
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP786
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
06/30/2013
Last updated
10/17/2023
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