Healthcare Provider Details

I. General information

NPI: 1376620773
Provider Name (Legal Business Name): AYESHA M SIKDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 KY ROUTE 321 SUITE # 4
PRESTONSBURG KY
41653-9168
US

IV. Provider business mailing address

5230 KY ROUTE 321 STE 4
PRESTONSBURG KY
41653-9169
US

V. Phone/Fax

Practice location:
  • Phone: 606-886-8880
  • Fax: 606-886-8628
Mailing address:
  • Phone: 606-886-8880
  • Fax: 606-886-8628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number30817
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number30817
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: