Individual provider · Type 1 NPI

Maya Medha Subbanna, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1679367791 Active

Practice location

245 Fountain Ct Ste 215
Lexington, KY 40509-2792

Call (859) 323-6861 Map

Fax (859) 323-1194

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679367791

Maya Medha Subbanna, MD's National Provider Identifier is 1679367791, issued on Apr 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Apr 4, 2025.