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NPI Code Detail

MEDICARE: RAJAN SAMPAT

MEDICARE: RAJAN SAMPAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1396686820
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJAN SAMPAT
Provider Business Mailing Address
First Line : 310 S LIMESTONE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-3008
Country : US
Telephone Number : 859-323-4756
Fax Number :
Provider Business Practice Location Address
First Line : 310 S LIMESTONE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-3008
Country : US
Telephone Number : 859-323-4756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “ RAJAN SAMPAT ” Practice Location

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