Heyday Health Medical Group Kentucky, Psc | |
2333 Alexandria Dr Lexington KY 40504-3215 | |
(833) 343-9329 | |
Not Available |
Full Name | Heyday Health Medical Group Kentucky, Psc |
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Speciality | Internal Medicine |
Location | 2333 Alexandria Dr, Lexington, Kentucky |
Authorized Official Name and Position | Nupur Mehta (PRESIDENT) |
Authorized Official Contact | 2342040301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heyday Health Medical Group Kentucky, Psc 2333 Alexandria Dr Lexington KY 40504-3215 Ph: () - | Heyday Health Medical Group Kentucky, Psc 2333 Alexandria Dr Lexington KY 40504-3215 Ph: (833) 343-9329 |
NPI Number | 1154034395 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 01/30/2023 |
Medicare PECOS PAC ID | 3779955406 |
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Medicare Enrollment ID | O20230207000521 |
Identifier | Type | State | Issuer |
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1154034395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nupur Mehta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407993868 PECOS PAC ID: 3577689389 Enrollment ID: I20220812000202 |
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