Individual
RADHIKA C CHERUKURI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
178 DOUGLAS PKWY, SHELBY VALLEY CLINIC, PIKEVILLE, KY 41501-6970
(606) 639-3135
(606) 639-3136
Mailing address
1709 KY ROUTE 321, STE 3 BIG SANDY HEALTH CARE INC, PRESTONSBURG, KY 41653-9101
(606) 886-8546
(606) 886-8548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6406347200
—
KY
Enumeration date
09/09/2005
Last updated
07/08/2007
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