SAMUEL CHAND TYAGI M.D. NPI 1053638734

NPI Information

Samuel Chand Tyagi, M.D. is a vascular surgery surgery in Lexington, KY with 14 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Samuel Chand Tyagi, M.D. NPI is 1053638734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

800 ROSE ST # C212
LEXINGTON, KY
ZIP 40536-001
Phone: (859) 323-6602
Fax: (859) 323-6840

The NPI 1053638734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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