Organization
LEXINGTON VEIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI BACHA MD (OWNER)
(859) 312-9674
Entity
Organization
Contact information
Practice address
3116 HARRODSBURG RD, LEXINGTON, KY 40503-2709
(859) 312-9674
Mailing address
3116 HARRODSBURG RD, LEXINGTON, KY 40503-2709
(859) 268-0082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/23/2018
Last updated
04/06/2021
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