Individual
ASHOK B RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 TERRA CROSSING BLVD STE 202, LOUISVILLE, KY 40245-5395
(502) 210-4301
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3600
(502) 588-9536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36071
KY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
36071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200286450
—
IN
05
—
64008774
—
KY
Enumeration date
11/29/2005
Last updated
06/24/2024
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