Individual
FARA SHIKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-9918
(859) 323-1197
Mailing address
800 ROSE ST, HX 315E, LEXINGTON, KY 40536-0293
(859) 323-0693
(859) 323-2510
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49436
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2014
Last updated
09/15/2016
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