Individual
CARLOS JAVIER RAMIREZ-ICAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 S BROADWAY STE 201, LEXINGTON, KY 40504-2701
(859) 258-4568
(859) 258-4698
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38093
KY
207RP1001X
Pulmonary Disease Physician
Primary
38093
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
38093
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200245580
—
IN
Enumeration date
10/02/2006
Last updated
07/26/2023
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