Healthcare Provider Details

I. General information

NPI: 1972965531
Provider Name (Legal Business Name): AAKASH LAD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST # 8208246
LEXINGTON KY
40536-7001
US

IV. Provider business mailing address

800 ROSE ST # 8208246
LEXINGTON KY
40536-7001
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-6162
  • Fax:
Mailing address:
  • Phone: 859-323-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA159171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: