Individual
YASODAH TODDYWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4138
(859) 258-4796
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4138
(859) 258-4796
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
57012932
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38652
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100046740
—
KY
Enumeration date
10/24/2007
Last updated
03/04/2020
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