Individual provider · NPI-1

Dr. Ruchita Agrawal, M.D

Psychiatry & Neurology, Psychiatry · Louisville, KY

NPI number1790941318
StatusActive
Last updated in NPPESMar 29, 2023

Details

NPI
1790941318
Entity type
Individual (NPI-1)
Name
Dr. Ruchita Agrawal
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2008
Certification date
Mar 29, 2023
Last updated
Mar 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry45133KYYes
207QB0002X Family Medicine, Bariatric Medicine45133KY
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

708 Magazine St
Louisville, KY 40203-2043

Phone 502-589-8926 · Fax 502-589-8771

Mailing address

10401 Linn Station Rd
Louisville, KY 40223-3842

Phone 502-589-8600 · Fax 502-589-8771

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