| Abner O Rayapati Md Llc | |
|
2220 Executive Dr Ste 102 Lexington KY 40505-4871 | |
| (859) 737-0904 | |
| Not Available |
| Full Name | Abner O Rayapati Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2220 Executive Dr Ste 102, Lexington, Kentucky |
| Authorized Official Name and Position | David Carter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8597370904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abner O Rayapati Md Llc 2220 Executive Dr Ste 102 Lexington KY 40505-4871 Ph: () - | Abner O Rayapati Md Llc 2220 Executive Dr Ste 102 Lexington KY 40505-4871 Ph: (859) 737-0904 |
| NPI Number | 1437879541 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 4688033418 |
|---|---|
| Medicare Enrollment ID | O20231010002077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437879541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Abner O Rayapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376789388 PECOS PAC ID: 1951542547 Enrollment ID: I20130724000434 |
| Provider Name | Andrea L Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366582207 PECOS PAC ID: 2466774492 Enrollment ID: I20141202002556 |
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