Raghuram S Modur (NPI# 1528052214, PAC ID# 9638295876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1528052214 |
| PAC ID by PECOS | 9638295876 |
| Professional Enrollment ID | I20100925000053 |
| Full Name | Raghuram S Modur |
| Organization Legal Name | KENTUCKY RADIATION THERAPY ASSOCIATES PSC |
| Address |
913 N Dixie Ave Elizabethtown KY 42701-2503 |
| Phone Number | 2707065065 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 4183659428 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2707065065 | KENTUCKY RADIATION THERAPY ASSOCIATES PSC |
| Organization Legal Name | KENTUCKY RADIATION THERAPY ASSOCIATES PSC |
| Physicians | 1 |
| Street Address |
913 N DIXIE AVE |
| City | ELIZABETHTOWN |
| State | KY |
| Zip | 42701-2503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Godfrey | Internal Medicine | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Angela Ballard | Nurse Practitioner | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Sidney M Verble | Pathology | Heartland Pathology Consultants Psc | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| David L Yerkes | Family Medicine | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Joseph A Stone | Emergency Medicine | Elizabethtown Emergency Physicians, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Erik E Dowden | Diagnostic Radiology | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Mary Alice Brown | Physician Assistant | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Russell L Mckinley | Podiatry | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Erin B Bryant | Nurse Practitioner | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Derhonda M Thompson | Nurse Practitioner | Hardin Professional Services, LLC | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna J Wilson | Clinical Social Worker | 921 N Main St, Elizabethtown, KY 42701-1256 | |
| Lela S Dunn | Psychologist, Clinical | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Rhonda A Shircliff | Nurse Practitioner | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Debra L Johnson | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Alicia Karam | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Nicholas L Watters | Psychologist, Clinical | 240 W Dixie Ave, Suite 5b, Elizabethtown, KY 42701-1586 | |
| Kimberly D Tully | Clinical Social Worker | 240 W Dixie Ave, Suite 5 B, Elizabethtown, KY 42701-1586 | |
| Katie V Barnett | Anesthesiology | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Price R Richardson | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Tracy L Dupree | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Find all physicians in zip 42701 | |||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | ELIZABETHTOWN + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Raghuram S Modur.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.