Individual
PRATHIBA RAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 W 7TH ST, SUITE 113, LONDON, KY 40741-1763
(606) 864-0510
(606) 864-0512
Mailing address
202 W 7TH ST, SUITE 113, LONDON, KY 40741-1763
(606) 864-0510
(606) 864-0512
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
40211
KY
2084P0800X
Psychiatry Physician
Primary
40211
KY
2084P0804X
Child & Adolescent Psychiatry Physician
40211
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64129547
—
KY
Enumeration date
10/13/2006
Last updated
01/26/2010
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