MEDICARE: BHAWAN YAMRAJ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35086408	OH
2	207Q00000X	Family Medicine Physician	38038	KY
3	207Q00000X	Family Medicine Physician	A86703	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043256423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAWAN YAMRAJ MD

Provider Business Mailing Address
First Line	:	PO BOX 550
Second Line	:
City	:	VANCEBURG
State	:	KY
Zip	:	41179-0550
Country	:	US
Telephone Number	:	606-796-3029
Fax Number	:	606-796-6221

Provider Business Practice Location Address
First Line	:	245 FOUNTAIN CT STE 120
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2792
Country	:	US
Telephone Number	:	859-218-2626
Fax Number	:	859-257-3322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	10/22/2025

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Directions to “ BHAWAN YAMRAJ MD” Practice Location

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