Raghavan, Vijay M

Raghavan, Vijay M is an individual health care provider with primary practice located at 1460 Bluegrass Ave , Louisville KY 40215-1272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Raghavan, Vijay M can be contacted via phone (502) 361-8496.

Contact Information

Primary practice address
1460 Bluegrass Ave Louisville KY 40215-1272
Phone: (502) 361-8496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01043397A Indiana
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 33876 Kentucky

Profile Details

NPI number 1316948995
LBN Legal business name Raghavan, Vijay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316948995 NPPES
Kentucky MEDICAID 64338767
Kentucky MEDICAID 6590070600

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