Individual
NISCHALA RAJEGOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 523-8620
(606) 523-8706
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
51002
KY
Other
Enumeration date
07/14/2011
Last updated
12/08/2020
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