Samuel Chand Tyagi
Vascular Surgeon
800 Rose St # C212
Lexington
, Kentucky 40536-7001
Samuel Chand Tyagi
Vascular Surgeon
800 Rose St # C212
Lexington
, Kentucky 40536-7001
(859) 323-6840
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Samuel Chand Tyagi
- 800 Rose Street C212
- Lexington, KY
- Zip : 40536-0293
- Fax : (859) 323-6840
- Phone : (859) 323-6602
Second Address
- Samuel Chand Tyagi
- 800 Rose St # C212
- Lexington, KY
- Zip : 40536-7001
- Fax : (859) 323-6840
- Phone : (859) 323-6602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 50119 | KY |
National Provider Identifier
| NPI | 1053638734 |
|---|---|
| Provider Name | Samuel Chand Tyagi |
| First Address | Lexington, KY 40536-0293 |
| Second Address | Lexington, KY 40536-7001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2010 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 50119 | LICENSURE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.