MEDICARE: RIA E EUGENIO 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	207R00000X	Internal Medicine Physician	39336	KY
2	207P00000X	Emergency Medicine Physician	39336	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	:	1881659472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIA E EUGENIO MD

Provider Business Mailing Address
First Line	:	1055 DOVE RUN RD
Second Line	:	SUITE 200
City	:	LEXINGTON
State	:	KY
Zip	:	40502
Country	:	US
Telephone Number	:	859-269-4668
Fax Number	:	859-266-5577

Provider Business Practice Location Address
First Line	:	1055 DOVE RUN RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40502-3536
Country	:	US
Telephone Number	:	859-269-4668
Fax Number	:	859-266-5577

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	03/09/2015

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Directions to “ RIA E EUGENIO MD” Practice Location

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