NPI 1336172899

Infectious Diseases, Psc

Organisation Specialist Ashland, KY

Practice location

Address: 2301 Lexington Ave Suite 100, Ashland, KY 41101-2873
Phone: (606) 325-2847

Authorised official

Name: Shailaja Veligandla
Title: Owner
Phone: (606) 325-2847

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 40111 (KY)

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Registry record

NPI: 1336172899
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.