NPI 1013104470

Radha Venkatramanan, PLLC

Organisation Preferred Provider Organization Hopkinsville, KY

Practice location

Address: 210 Burley Ave Suite a, Hopkinsville, KY 42240-8725
Phone: (270) 889-0282
Fax: (270) 887-8340
Mailing address: 210 a Burley Avenue, Hopkinsville, KY 42240

Authorised official

Name: Radha Venkatramanan
Title: MD/ President
Phone: (270) 889-0282

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 39289 (KY)

Other Preferred Provider Organization providers in Kentucky →

Registry record

NPI: 1013104470
Entity type: Organization
NPI issued: 1 Oct 2007
Record last updated: 1 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.