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Contact Information

PATHAK & PATHAK, M.D., P.S.C.
1527 NASHVILLE ST
RUSSELLVILLE, KY42276-8851
 Phone: 270-726-9811
 Fax: 270-726-6217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PATHAK & PATHAK, M.D., P.S.C.

NPI Number 1093920480
LBN Legal business name PATHAK & PATHAK, M.D., P.S.C.
Authorized official JITENDRA PATHAK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
KY License # 19220
KY License # 19221
KY Medicaid 64192206
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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