Healthcare Provider Details

I. General information

NPI: 1639083587
Provider Name (Legal Business Name): SP CANCER CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MEDICAL HEIGHTS DR STE M
FRANKFORT KY
40601-4137
US

IV. Provider business mailing address

101 MEDICAL HEIGHTS DR STE M
FRANKFORT KY
40601-4137
US

V. Phone/Fax

Practice location:
  • Phone: 502-223-2440
  • Fax: 502-747-7055
Mailing address:
  • Phone: 502-223-2440
  • Fax: 502-747-7055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAURABH VISHNUKUMAR PARASRAMKA
Title or Position: MD/OWNER
Credential: MD
Phone: 502-223-2440