Provider Demographics
NPI:1427839349
Name:NEUPANE, RYAM
Entity type:Individual
Prefix:
First Name:RYAM
Middle Name:
Last Name:NEUPANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11206 JEFFERSON TRACE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3695
Mailing Address - Country:US
Mailing Address - Phone:502-836-9931
Mailing Address - Fax:
Practice Address - Street 1:11206 JEFFERSON TRACE BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3695
Practice Address - Country:US
Practice Address - Phone:502-836-9931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No372600000XNursing Service Related ProvidersAdult Companion