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NPI Code Detail

MEDICARE: DR. RAJESH A JOSEPH M.D.

MEDICARE: DR. RAJESH A JOSEPH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician35-077244OH
2208600000XSurgery Physician45286KY
3208600000XSurgery PhysicianTP418KY
4207RG0100XGastroenterology Physician45286KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250040495OTHERKYPASSPORT- NORTON SURGICAL SPECIALISTS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831193275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJESH A JOSEPH M.D.
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 3999 DUTCHMANS LN STE 7B
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4742
Country : US
Telephone Number : 502-896-4711
Fax Number : 502-896-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 01/19/2021

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