Individual
DR. RAJESH A JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3999 DUTCHMANS LN STE 7B, LOUISVILLE, KY 40207-4742
(502) 896-4711
(502) 896-4791
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
35-077244
OH
207RG0100X
Gastroenterology Physician
Primary
45286
KY
208600000X
Surgery Physician
45286
KY
208600000X
Surgery Physician
TP418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201110530
—
IN
05
—
2514925
—
OH
01
—
50040495
PASSPORT- NORTON SURGICAL SPECIALISTS
KY
05
—
7100209370
—
IN
Enumeration date
06/13/2005
Last updated
01/19/2021
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