Active NPI
Infectious Diseases PSC
- Infectious Disease Physician
- Ashland, KY
National Provider Identifier
1265597033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 40111
- Legal business name
- INFECTIOUS DISEASES PSC
- Practice address
- 2301 Lexington Ave
Suite 100
Ashland, KY 41101-2873 - Phone
- (606) 325-0011
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shailaja Veligandla, M.D.
- Title
- Owner
- Phone
- (606) 325-0011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 40111 | KY | Primary |
Addresses
Primary practice location
2301 Lexington Ave
Suite 100
Ashland, KY 41101-2873
Mailing address
2301 Lexington Ave
Suite 100
Ashland, KY 41101-2873
Phone (606) 325-0011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2652053 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
286 Bogle St
Ste 5
Somerset, KY 42503
Phone (606) 679-0581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265597033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LEXINGTON AVE",
"address_2": "SUITE 100",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012873",
"telephone_number": "606-325-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LEXINGTON AVE",
"address_2": "SUITE 100",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012873",
"telephone_number": "606-325-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VELIGANDLA",
"authorized_official_first_name": "SHAILAJA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-325-0011",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "KY",
"license": "40111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2652053",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.