Individual
DR. SUBODH MUKUND LELE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE STREET, LEXINGTON, KY 40536-0001
(859) 323-5424
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
35921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64013162
—
KY
Enumeration date
04/18/2006
Last updated
07/08/2007
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