Individual
HALEMANE SURYANARAYANA GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, HX318, LEXINGTON, KY 40536
(859) 323-5069
Mailing address
800 ROSE ST, HX318, LEXINGTON, KY 40536-0293
(859) 323-5069
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301092635
MI
2085R0202X
Diagnostic Radiology Physician
Primary
47844
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100094360
—
KY
Enumeration date
08/07/2008
Last updated
09/07/2018
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