| Rudra Pampati, MD | |
|
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
| (859) 301-2160 | |
| Not Available |
| Full Name | Rudra Pampati |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |