Individual
SAROJ B. DUBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 PROSPEROUS PLACE, SUITE 300, LEXINGTON, KY 40509-1836
(859) 271-3114
(859) 271-0220
Mailing address
PO BOX 23955, LEXINGTON, KY 40523-3955
(859) 271-3114
(859) 271-0220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
32292
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
32292
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
32292
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108103
ANTHEM B/C PIN
KY
01
—
1168975
CHA HEALTH PIN
KY
01
—
2001268
UNITED HEALTHCARE PIN
KY
01
—
611369666
HUMANA PIN
KY
05
—
64322928
—
KY
01
—
C15401
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/19/2005
Last updated
12/30/2015
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