Individual
DR. SARITHA R GOMADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-8178
(859) 323-8926
Mailing address
740 S LIMESTONE ST, K512, LEXINGTON, KY 40536-0001
(859) 323-8178
(859) 323-8926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H71870
MD
207R00000X
Internal Medicine Physician
OT012529
PA
207RI0200X
Infectious Disease Physician
Primary
03817
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046498800
—
MD
Enumeration date
10/27/2010
Last updated
07/20/2015
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