Healthcare Provider Details

I. General information

NPI: 1083609598
Provider Name (Legal Business Name): MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 PROFESSIONAL PARK DR
GLASGOW KY
42141-3486
US

IV. Provider business mailing address

4114 BROWNS LN
LOUISVILLE KY
40220-1534
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-7776
  • Fax: 270-651-3495
Mailing address:
  • Phone: 502-458-6359
  • Fax: 502-459-8626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number300095
License Number StateKY

VIII. Authorized Official

Name: DR. RAJANATHAN KARALAKULASINGAM
Title or Position: PRESIDENT
Credential: M.D.
Phone: 502-458-6359