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Individual

SIBU SAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
740 SOUTH LIMESTONE, SUITE A301, LEXINGTON, KY 40536-0284
(859) 323-6494
(859) 257-4682
Mailing address
740 S LIMESTONE SUITE A301, LEXINGTON, KY 40536-0284
(859) 323-6494
(859) 257-4682

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
18708
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
18708
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18708
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
05
64187081
KY
Enumeration date
04/20/2006
Last updated
06/28/2019
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