Individual
PRAFULL RAHEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 1101, LOUISVILLE, KY 40202-3841
(502) 581-1951
(502) 540-5137
Mailing address
100 E LIBERTY ST, SUITE 800 - BUSINESS OFFICE, LOUISVILLE, KY 40202-1434
(502) 581-1951
(502) 540-5137
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44271
KY
207RI0011X
Interventional Cardiology Physician
Primary
44271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201363930A (KOHMG)
—
IN
05
—
7100425760 (KOHMG)
—
KY
Enumeration date
06/02/2008
Last updated
11/14/2016
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