Individual
BABY OLIAPURAM JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 SOUTH JACKSON STREET, LOUISVILLE, KY 40202
(502) 562-4360
(502) 562-4364
Mailing address
DEPT 5081 PO BOX 740041, LOUISVILLE, KY 40201-7441
(502) 561-2700
(502) 561-2709
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01033494A
IN
2085R0001X
Radiation Oncology Physician
Primary
20283
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64202831
—
KY
Enumeration date
08/29/2006
Last updated
07/08/2007
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