Individual
LATHA CHANDRASHEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 FOUNTAIN CT FL 1, LEXINGTON, KY 40509-2792
(859) 218-2626
Mailing address
130 KATE IRELAND DR, HYDEN, KY 41749-9071
(606) 672-2341
(606) 672-5254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41265
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100068570
—
KY
Enumeration date
10/07/2008
Last updated
08/16/2022
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