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Contact Information

VIJAY M RAGHAVAN, MD
1460 BLUEGRASS AVE
LOUISVILLE, KY40215-1272
 Phone: 502-361-8496
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VIJAY M RAGHAVAN · (Male)

NPI # 1316948995
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 10/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01043397A
  • KY License # 33876
  • KY Medicaid 64338767
  • KY Medicaid 6590070600
Hospital affiliation(s)
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
  • UNIVERSITY OF LOUISVILLE HOSPITAL - (Acute Care)
    530 SOUTH JACKSON STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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