Basic Information
| Provider Information | |||||||||
| NPI: | 1003129552 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMACHANDRAN | ||||||||
| FirstName: | PREETI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 LEADER AVENUE | ||||||||
| Address2: | ROOM 252 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405069983 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593235962 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 ROSE ST FL HA4 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593236754 | ||||||||
| FaxNumber: | 8593236754 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2010 | ||||||||
| LastUpdateDate: | 09/07/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0202X | 50763 | KY | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | 2080P0202X | TP074 | KY | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology |
No ID Information.