Provider Demographics
NPI:1801115159
Name:RATTAN, AMIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:SINGH
Last Name:RATTAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:375 THOMAS MORE PARKWAY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2175
Mailing Address - Country:US
Mailing Address - Phone:859-578-5860
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL VILLAGE DR
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3403
Practice Address - Country:US
Practice Address - Phone:859-301-2160
Practice Address - Fax:859-301-3932
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2015-08-17
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Provider Licenses
StateLicense IDTaxonomies
OH57.016826207R00000X
IN110157552085R0202X
IAMD-418022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine