MEDICARE: CHITHRA P RAM 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
1	2085R0202X	Diagnostic Radiology Physician	37043	KY
2	2085N0700X	Neuroradiology Physician	37043	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00192321	OTHER	KY	RAILROAD MEDICARE
5	P00619371	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000340962	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881698231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHITHRA P RAM M.D.

Provider Business Mailing Address
First Line	:	222 S 1ST ST
Second Line	:	SUITE 501
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-5404
Country	:	US
Telephone Number	:	502-583-2731
Fax Number	:	502-583-2733

Provider Business Practice Location Address
First Line	:	222 S 1ST ST
Second Line	:	SUITE 501
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-5404
Country	:	US
Telephone Number	:	502-583-2731
Fax Number	:	502-583-2733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	04/27/2009

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Directions to “ CHITHRA P RAM M.D.” Practice Location

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