Infectious Diseases Psc

NPI 1265597033 - Internal Medicine - 207RI0200X

NPI Details
NPI 1265597033
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHAILAJA SHAILAJA
Position OWNER
Phone (606) 325-0011
Fax
Practice Location
2301 LEXINGTON AVE
SUITE 100
ASHLAND KY, 41101-2873, US
Phone (606) 325-0011
Fax
Business Location
2301 LEXINGTON AVE
SUITE 100
ASHLAND KY, 41101-2873, US
Phone (606) 325-0011
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State Kentucky
License Number 40111
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According to our database, Infectious Diseases Psc NPI is 1265597033, taxonomy code is 207RI0200X and license number is 40111, license state is located at Kentucky. Infectious Diseases Psc physically located at 2301 Lexington Ave, Ashland KY, 41101-2873. NPI Number 1033115704 has the healthcare provider type.

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1265597033 NPI number is provided on an as is basis without warranty of any kind. 1265597033 is maintained by the National Plan & Provider Enumeration System. The contents of Infectious Diseases Psc are for informational purposes only.