Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 46825 | KY |
N | 111NI0900X | Internist | 46825 | KY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 46825 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 01082550A | IN |
N | 207RC0000X | Internist - Cardiovascular Disease | 46825 | KY |
NPI | 1144268871 |
---|---|
Provider Name | Maya E Guglin |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Lexington, KY 40536-0294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 18/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100269490 | (05) | KY |