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Individual

HAREL RACHOVITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30187
KY
207L00000X
Anesthesiology Physician
35060501
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000536470
ANTHEM
01
000000642725
ANTHEM
05
0816666
OH
05
200879200
IN
05
64001878
KY
Enumeration date
08/24/2005
Last updated
06/15/2010
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