Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 47334 | KY |
N | 2080N0001X | Neonatal-Perinatal Doctor | 47334 | KY |
NPI | 1053608281 |
---|---|
Provider Name | Lochan Subedi |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2011 |
Last Update Date | 01/06/2016 |