Organization
BLUEGRASS NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUKMAIAH BHUPALAM MD (PHYSICIAN)
(502) 454-5044
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY, SUITE 1226, LOUISVILLE, KY 40217-1417
(502) 454-5044
(502) 452-9549
Mailing address
1169 EASTERN PKWY, SUITE 1226, LOUISVILLE, KY 40217-1417
(502) 454-5044
(502) 452-9549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23966
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64239668
—
KY
Enumeration date
09/15/2006
Last updated
03/29/2010
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