Provider Demographics
NPI:1053385971
Name:DUDEE, JITANDER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:JITANDER
Middle Name:SINGH
Last Name:DUDEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:181 PROSPEROUS PL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1804
Mailing Address - Country:US
Mailing Address - Phone:859-278-9486
Mailing Address - Fax:888-500-3329
Practice Address - Street 1:2351 HUGUENARD DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-278-9486
Practice Address - Fax:888-500-3329
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY30460207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64304603Medicaid
KYF80715Medicare UPIN