Healthcare Provider Details

I. General information

NPI: 1568372027
Provider Name (Legal Business Name): ASMITA RAI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT JOSEPH DR
LEXINGTON KY
40504-3742
US

IV. Provider business mailing address

4050 GREEN ISLE WAY APT 4
SAGINAW MI
48603-1410
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-2334
  • Fax:
Mailing address:
  • Phone: 989-890-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: