Individual provider · Type 1 NPI
Raghunath Gudibanda, MD
Neurology Physician · Louisville, KY
NPI number
1659418119
Active
Practice location
315 E Broadway Ste 185E
Louisville, KY 40202-3700
Fax (502) 629-4151
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine Physician | 208VP0000X | 41448 (KY) |
| Neurology Physician Primary | 2084N0400X | 41448 (KY) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1659418119
Raghunath Gudibanda, MD's National Provider Identifier is 1659418119, issued on Jan 31, 2007. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Louisville, KY. The record was last updated on Sep 10, 2009.