National Provider Identifier Database

RAGHUNATH GUDIBANDA, MD – NPI #1659418119
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

RAGHUNATH GUDIBANDA, MD
315 E BROADWAY STE 185E
LOUISVILLE, KY40202-3700
Phone: 502-629-5455
Fax: 502-629-4151
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for RAGHUNATH GUDIBANDA

NPI Number 1659418119
Credentials MD
Entity Individual
Enumeration date 01/31/2007
Last updated 09/10/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • KY License #: 41448
  • IN Medicaid: 200948520
  • KY Medicaid: 7100064020
  • KY Other: 000000587053 ANTHEM/NORTON
  • KY Other: 000023033X HUMANA
  • KY Other: 50021428 PASSPORT
  • KY Other: 3552164000 PASSPORT ADVANTAGE
  • KY Other: 098231 SIHO
Hospital affiliation n/a

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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