Pathak & Pathak, M.D., P.S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19220 Issued in KY

Legal business name

PATHAK & PATHAK, M.D., P.S.C.

Practice address

1527 Nashville St
Russellville, KY 42276-8851

Phone

(270) 726-9811

Fax

(270) 726-6217

NPI assigned

May 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jitendra A Pathak, M.D.

Title

President

Phone

(270) 726-8411

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093920480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 NASHVILLE ST",
            "address_2": "P O BOX 597",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768851",
            "telephone_number": "270-726-9811",
            "fax_number": "270-726-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768851",
            "telephone_number": "270-726-9811",
            "fax_number": "270-726-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHAK & PATHAK, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-726-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "19221",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "19220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64192206",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Russellville, KY
• Providers in Russellville, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.