Bandana Waikhom in Lakeside Park - Ophthalmology

Bandana Waikhom - NPI 1053576140

Bandana Waikhom is a Ophthalmology in Lakeside Park, Kentucky. Bandana Waikhom practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Bandana Waikhom is 1053576140. The last update date is 2017-04-26.

Bandana Waikhom's current location address is 2300 Chamber Center Dr, Lakeside Park, Kentucky. You can contact this provider via phone number 8597461990 and fax number 8597463149. The mailing address for Bandana Waikhom is 2300 Chamber Center Dr, Lakeside Park, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Bandana Waikhom
Address 2300 Chamber Center Dr, Lakeside Park, Kentucky
Phone Number 8597461990
Fax Number 8597463149
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053576140
Provider Enumeration Date 2008-07-28
Last Updated Date 2017-04-26

Provider Mailing Address Detail

Address 2300 Chamber Center Dr
City Lakeside Park
State Kentucky (KY)
Post Code 410171686
Phone Number 8597461990
Fax Number 8597463149

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 35.084676
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2925937 OH --
7100136710 KY --

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FAQs about Bandana Waikhom

What is the unique 10-digit identifier code issued to Bandana Waikhom by the Centers for Medicare & Medicaid Services?

The Bandana Waikhom has been assigned the NPI (National Provider Identifier) 1053576140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Bandana Waikhom's facilities are geographically located?

The facilities of Bandana Waikhom are physically situated at the following location: 2300 Chamber Center Dr, Lakeside Park, KY, 410171686.

What is the Bandana Waikhom's area of specialization and corresponding taxonomy classification?

The Bandana Waikhom's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.

On what date did Bandana Waikhom receive its 1053576140 assignment from the Centers for Medicare & Medicaid Services?

The Bandana Waikhom was assigned its 1053576140 on 2008-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Bandana Waikhom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bandana Waikhom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-26.

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