Individual
MANAN RAJU SAMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 LEBANON RD STE 2, DANVILLE, KY 40422-8349
(859) 239-4500
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2318
(859) 936-4520
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
53516
KY
Other
Enumeration date
04/11/2016
Last updated
07/08/2020
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