| Danilo B. Corales MD Inc | |
|
1401 Harrodsburg Rd Ste B299 Lexington KY 40504-3747 | |
| (859) 276-0714 | |
| (859) 276-0363 |
| Full Name | Danilo B. Corales MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Harrodsburg Rd Ste B299, Lexington, Kentucky |
| Authorized Official Name and Position | Danilo B Corales (OWNER) |
| Authorized Official Contact | 8592760714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danilo B. Corales MD Inc 1401 Harrodsburg Rd Ste B299 Lexington KY 40504-3747 Ph: (859) 276-0714 | Danilo B. Corales MD Inc 1401 Harrodsburg Rd Ste B299 Lexington KY 40504-3747 Ph: (859) 276-0714 |
| NPI Number | 1487972915 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 05/07/2010 |
| Medicare PECOS PAC ID | 3375673387 |
|---|---|
| Medicare Enrollment ID | O20100617000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487972915 | NPI | - | NPPES |
| 64321094 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 32109 (Kentucky) | Primary |
| Provider Name | Danilo B Corales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013951771 PECOS PAC ID: 8527198548 Enrollment ID: I20100617000188 |
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