Provider Demographics
NPI:1689405474
Name:SABUJAN, ASMI
Entity type:Individual
Prefix:
First Name:ASMI
Middle Name:
Last Name:SABUJAN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ASMI
Other - Middle Name:
Other - Last Name:M
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 ROSE ST RM HX-315E
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:859-323-0693
Mailing Address - Fax:859-323-2510
Practice Address - Street 1:800 ROSE ST RM HX-315E
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-0693
Practice Address - Fax:859-323-2510
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program