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Contact Information

RAGHURAM S MODUR, MD
911 BYPASS RD
LEONARD LAWSON CANCER CENTER
PIKEVILLE, KY41501
 Phone: 606-437-3516
 Fax: 606-218-4912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RAGHURAM S MODUR · (Male)

NPI # 1528052214
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 07/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 20702
  • KY Medicaid 64207020
  • Other 000000048402 ANTHEM BC KY
Hospital affiliation(s) Not Available
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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