Tyagi, Samuel Chand
Tyagi, Samuel Chand is an individual health care provider with primary practice located at 800 Rose St # C212 , Lexington KY 40536-7001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Tyagi, Samuel Chand can be contacted via phone (859) 323-6602.Contact Information
Primary practice address
800 Rose St # C212
Lexington KY 40536-7001
Phone: (859) 323-6602
Fax: (859) 323-6840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 50119 | Kentucky |
Profile Details
| NPI number | 1053638734 |
|---|---|
| LBN Legal business name | Tyagi, Samuel Chand |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2010 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053638734 | NPPES |
| Kentucky | Other | 50119 | LICENSURE |
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