Individual
ACHAMMA S ITTICHERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
828 LANE ALLEN RD STE 219, LEXINGTON, KY 40504
(502) 498-4071
(888) 423-5216
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100263350
—
KY
Enumeration date
05/14/2007
Last updated
02/26/2020
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