RUDOLPH LICANDRO, M.D.
Internal Medicine - Interventional Cardiology
Active
Individual
NPI: 1497753784
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Cardiovascular Disease | 207RC0000X | No | 23908 (KY) |
| Internal Medicine - Interventional Cardiology | 207RI0011X | Yes | 23908 (KY) |
Frequently Asked Questions
NPI 1497753784 is the National Provider Identifier for RUDOLPH LICANDRO, M.D., a Internal Medicine - Interventional Cardiology provider located in Louisville, KY. This NPI was enumerated on July 11, 2005.
RUDOLPH LICANDRO, M.D. practices at 3900 KRESGE WAY, STE 60, Louisville, KY 40207.
Quick Facts
- NPI
- 1497753784
- Type
- Individual
- Enumerated
- Jul 11, 2005
- Last Updated
- Mar 7, 2023
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