Individual
RAGHUNATH GUDIBANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
41448
KY
208VP0000X
Pain Medicine Physician
41448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000587053
ANTHEM/NORTON
KY
01
—
000023033X
HUMANA
KY
01
—
098231
SIHO
KY
05
—
200948520
—
IN
01
—
3552164000
PASSPORT ADVANTAGE
KY
01
—
50021428
PASSPORT
KY
05
—
7100064020
—
KY
Enumeration date
01/31/2007
Last updated
09/10/2009
Update your record
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