Dias, Darryl D

Dias, Darryl D is an individual health care provider with primary practice located at 711 Medical Village Dr , Edgewood KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dias, Darryl D can be contacted via phone (859) 331-0774.

Contact Information

Primary practice address
711 Medical Village Dr Edgewood KY 41017
Phone: (859) 331-0774
Fax: (859) 578-3800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01070816A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36524 Kentucky

Profile Details

NPI number 1679576771
LBN Legal business name Dias, Darryl D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679576771 NPPES
Kentucky MEDICAID 50024713
Kentucky MEDICAID 200501320
Kentucky MEDICAID 2528536
Kentucky MEDICAID 64083116
Kentucky Other P00920125

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