DR. ANJANA L PETTIGREW MD NPI 1295790640

NPI Information

NPI: 1295790640
Provider Name: DR. ANJANA L PETTIGREW, MD
Classification: Medical Genetics - 207SC0300X
Entity Type: Individual

Specialization: Clinical Cytogenetics

PECOS Registration: Yes

Address:
800 ROSE STREET
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-5425
Get Directions

DR. Anjana L Pettigrew, MD is a clinical cytogenetics medical genetics in Lexington, KY. The provider is a clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. DR. Anjana L Pettigrew, MD NPI is 1295790640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 ROSE STREET
LEXINGTON, KY
ZIP 40536-001
Phone: (859) 323-5425

The NPI 1295790640 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 4/19/2006 and was last updated on 3/4/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	26584	KENTUCKY	No
2	207ZC0500X	Pathology	Cytopathology	26584	KENTUCKY	No
3	2080A0000X	Pediatrics	Adolescent Medicine	26584	KENTUCKY	No
4	207SC0300X	Medical Genetics	Clinical Cytogenetics	26584	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	64265846	MEDICAID	KENTUCKY
2	0054609	MEDICARE ID-TYPE UNSPECIFIED
3	E14968	MEDICARE UPIN

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

NPI Synchronization or Removal

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