Healthcare Provider Details

I. General information

NPI: 1497756852
Provider Name (Legal Business Name): ASIM R PIRACHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2353 ALEXANDRIA DR STE 260
LEXINGTON KY
40504-3208
US

IV. Provider business mailing address

2353 ALEXANDRIA DR STE 350
LEXINGTON KY
40504-3208
US

V. Phone/Fax

Practice location:
  • Phone: 859-224-2655
  • Fax: 859-223-7147
Mailing address:
  • Phone: 859-224-2655
  • Fax: 859-223-7147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number01055599A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number32762
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: