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1548572704
NAGABHUSHANAM R BOLLAVARAM
LEXINGTON, KY
NPI
1548572704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: KY 45813)
Enumeration Date
2010-07-05
Last Update Date
2019-05-06
Business Address
NAGABHUSHANAM R BOLLAVARAM M.D
1401 HARRODSBURG RD STE A300
LEXINGTON, KY 40504-3787
Phone number: 859-313-4744
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Mailing Address
NAGABHUSHANAM R BOLLAVARAM M.D
PO BOX 936
LONDON, KY 40743-0936
Phone number: 606-330-7840
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