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EASTERN KY ALLERGY AND ASTHMA PLLC NPI 1285740175


NPI Information

NPI: 1285740175
Provider Name: EASTERN KY ALLERGY AND ASTHMA PLLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 18D0937845

Address:
11021 MAIN ST
MARTIN, KY
ZIP 41649
Phone: (606) 285-9222
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EASTERN KY ALLERGY AND ASTHMA PLLC is an allergy allergy immunology in Martin, KY. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee EASTERN KY ALLERGY AND ASTHMA PLLC NPI is 1285740175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11021 MAIN ST
MARTIN, KY
ZIP 41649
Phone: (606) 285-9222
Fax: (606) 285-9223

The provider's authorized official is Sunil K Saraf .
The authorized official title is President and has the following contact phone number (606) 285-9222.

The CLIA number assigned to this NPI record is 18D0937845 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy36402KENTUCKYYes
2207R00000XInternal Medicine36402KENTUCKYX

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165944704MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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