Healthcare Provider Details

I. General information

NPI: 1508081225
Provider Name (Legal Business Name): DOINA MARIANA SAXMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DOINA MARIANA COMSA-VILICS M.D.

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 PROFESSIONAL HEIGHTS DR SUITE 240
LEXINGTON KY
40503-3040
US

IV. Provider business mailing address

2375 PROFESSIONAL HEIGHTS DR SUITE 240
LEXINGTON KY
40503-3040
US

V. Phone/Fax

Practice location:
  • Phone: 859-277-7246
  • Fax: 859-277-0061
Mailing address:
  • Phone: 859-277-7246
  • Fax: 859-277-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number42380
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: