MEDICARE: DR. ASIM R PIRACHA M.D.

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	207W00000X	Ophthalmology Physician	01055599A	IN
2	207W00000X	Ophthalmology Physician	32762	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000491263	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497756852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASIM R PIRACHA M.D.

Provider Business Mailing Address
First Line	:	2353 ALEXANDRIA DR STE 350
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3208
Country	:	US
Telephone Number	:	859-224-2655
Fax Number	:	859-223-7147

Provider Business Practice Location Address
First Line	:	2353 ALEXANDRIA DR STE 260
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3208
Country	:	US
Telephone Number	:	859-224-2655
Fax Number	:	859-223-7147

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/10/2025

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Directions to “ DR. ASIM R PIRACHA M.D.” Practice Location

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