Individual
CHITHRA P RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 S 1ST ST, SUITE 501, LOUISVILLE, KY 40202-5404
(502) 583-2731
(502) 583-2733
Mailing address
222 S 1ST ST, SUITE 501, LOUISVILLE, KY 40202-5404
(502) 583-2731
(502) 583-2733
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
37043
KY
2085R0202X
Diagnostic Radiology Physician
Primary
37043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340962
ANTHEM
KY
05
—
200477990
—
IN
05
—
64079965
—
KY
01
—
P00192321
RAILROAD MEDICARE
KY
01
—
P00619371
RAILROAD MEDICARE
KY
Enumeration date
06/13/2005
Last updated
04/27/2009
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