Individual
ALLA Y GRIGORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UK DIVISION OF DIGESTIVE DISEASES, 800 ROSE STREET, MN654 MED SCIENCE BLDG, LEXINGTON, KY 40536-0298
(859) 323-4887
(859) 257-8860
Mailing address
UK DIVISION OF DIGESTIVE DISEASES, 800 ROSE STREET, MN654 MED SCIENCE BLDG, LEXINGTON, KY 40536-0298
(859) 323-4887
(859) 257-8860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39535
KY
207RG0100X
Gastroenterology Physician
Primary
39535
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100014180
—
KY
Enumeration date
07/18/2006
Last updated
09/24/2014
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