Individual
RAVINDER SINGH BHAGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
184 S MAYO TRL, PIKEVILLE, KY 41501-1518
(606) 430-2213
(606) 432-4365
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30095
KY
207RN0300X
Nephrology Physician
Primary
30095
KY
207RN0300X
Nephrology Physician
611422406
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64030091
—
KY
Enumeration date
08/16/2006
Last updated
08/13/2024
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