MEDICARE: ARUN RAJGURU KADAMBI 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	207KA0200X	Allergy Physician	34760	KY

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

General Provider Information

NPI Number	:	1811998925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUN RAJGURU KADAMBI MD

Provider Business Mailing Address
First Line	:	1136 MONARCH ST.
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40513
Country	:	US
Telephone Number	:	859-223-0000
Fax Number	:	859-223-0602

Provider Business Practice Location Address
First Line	:	1136 MONARCH ST.
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515
Country	:	US
Telephone Number	:	859-223-0000
Fax Number	:	859-223-0602

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	06/08/2022

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