Rudra Pampati, MD | |
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
(859) 301-2160 | |
Not Available |
Full Name | Rudra Pampati |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477901080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 55778 (Kentucky) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 55778 (Kentucky) | Primary |
Entity Name | Radiology Associates Of Northern Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073595179 PECOS PAC ID: 3779480736 Enrollment ID: O20180510001505 |
Mailing Address | Practice Location Address |
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Rudra Pampati, MD 1500 E Medical Center Dr, 2110 Taubman Center, Ann Arbor, MI 48109-5346 Ph: () - | Rudra Pampati, MD 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-2160 |
Dr. Stephen G Moeller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Byron W Marks, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Walter R Eiseman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Richard H Laib, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. James J Roebker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Elizabeth A P Reichard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
David Jerome Lubbers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 |