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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for RAGHUNATH GUDIBANDA · (Male)

NPI # 1659418119
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2007
Last updated 09/10/2009 - About 17 years ago
Sole proprietor 1 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(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT 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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