Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 50763 | KY |
N | 2080P0202X | Pediatric Cardiologist | TP074 | KY |
NPI | 1003129552 |
---|---|
Provider Name | Preeti Ramachandran |
First Address | Lexington, KY 40506-9983 |
Second Address | Lexington, KY 40536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2010 |
Last Update Date | 07/09/2018 |