Individual
DR. INDRA RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 W 7TH ST, SUITE 200, LONDON, KY 40741-1763
(606) 878-8100
(606) 864-7878
Mailing address
7807 SHELBYVILLE RD, STE 100, LOUISVILLE, KY 40222-5495
(606) 878-8100
(606) 864-7878
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19877
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64198773
—
KY
Enumeration date
07/09/2006
Last updated
12/11/2017
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