MEDICARE: FNU ASHNA RAJAN 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	271060	MA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	60800	KY
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD18445	RI
4	208M00000X	Hospitalist Physician	60800	KY

General Provider Information

NPI Number	:	1891210829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FNU ASHNA RAJAN MD

Provider Business Mailing Address
First Line	:	800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-7001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-2232
Country	:	US
Telephone Number	:	859-323-6047
Fax Number	:	859-257-3873

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

Provider Enumeration Date	:	08/10/2017
Last Update Date	:	06/20/2025

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