Bluegrass Womens Health, PLLC

Organization Active NPI Obstetrics & Gynecology Physician · Russellville, KY

NPI 1477500668 · NPPES record last updated Jul 1, 2008

Key facts

NPI
1477500668
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
TP336 (KY)
Legal business name
BLUEGRASS WOMENS HEALTH, PLLC
Practice address
1621 Nashville St
Suite 101
Russellville, KY 42276-8871
Phone
(270) 725-8373
Fax
(270) 725-8375
NPI assigned
May 31, 2006
Organization subpart
No

Authorized official

Name
Sanjay Tandon, M.D.
Title
Physician
Phone
(270) 725-8373

National Provider Directory

Locations

1621 Nashville St
Ste 101
Russellville, KY 42276
Phone (270) 725-8373

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X TP336 KY Yes

Addresses

Primary practice location

1621 Nashville St
Suite 101
Russellville, KY 42276-8871

Mailing address

1621 Nashville St
Suite 101
Russellville, KY 42276-8871
Phone (270) 725-8373

Other providers in Russellville, KY

All providers in Russellville, KY · Obstetrics & Gynecology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.