Individual
SAMUEL CHAND TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST # C212, LEXINGTON, KY 40536-7001
(859) 323-6602
(859) 323-6840
Mailing address
800 ROSE STREET, C212, LEXINGTON, KY 40536-0293
(859) 323-6602
(859) 323-6840
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
50119
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50119
LICENSURE
KY
Enumeration date
04/21/2010
Last updated
07/21/2022
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