Maddela, Ricardo Barrios

Maddela, Ricardo Barrios is an individual health care provider with primary practice located at 1413 N Elm St Suite 206, Henderson KY 42420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maddela, Ricardo Barrios can be contacted via phone (270) 826-9595.

Contact Information

Primary practice address
1413 N Elm St Suite 206 Henderson KY 42420
Fax: (270) 826-3656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19313 Kentucky

Profile Details

NPI number 1053426163
LBN Legal business name Maddela, Ricardo Barrios
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053426163 NPPES
Kentucky MEDICAID 64193139

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