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General NPI Number Information
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NPI Number | 1427154913
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Entity Type | Individual
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Provider Name | RAJA M KAIKAUS MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 225 ABRAHAM FLEXNER WAY SUITE 402
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City | LOUISVILLE
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State | KY
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Zip | 40202
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Country | US
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Telephone | 502-568-6616
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Fax | 502-568-6614
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-568-6616
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Fax | 502-568-6614
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 31769
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License Number State | KY
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