Healthcare Provider Details

I. General information

NPI: 1982929972
Provider Name (Legal Business Name): RANI CHIKKANNA M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 08/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST, MN604
LEXINGTON KY
40536-0298
US

IV. Provider business mailing address

UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST, MN604
LEXINGTON KY
40536-0298
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-6047
  • Fax: 859-257-3873
Mailing address:
  • Phone: 859-323-6047
  • Fax: 859-257-3873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number48975
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number48975
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: