Organization Name: | EASTERN KY ALLERGY AND ASTHMA PLLC |
NPI Number: | 1285740175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNIL K SARAF (PRESIDENT) |
Mailing Address: | 11021 Main St Martin |
State: | KY US |
Postal Code: | 41649 |
Phone Number: | 6062859222 |
Fax Number: | 6062859223 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | 36402 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |