Individual provider · Type 1 NPI

Ian Lee Provancha, MD

Vascular & Interventional Radiology Physician · Lexington, KY

NPI number 1700376530 Active

Practice location

800 Rose St
Lexington, KY 40536-7001

Call (859) 323-2222 Map

Fax (859) 323-5090

Mailing address

475 Seaview Ave
Staten Island, NY 10305

Other practice locations

  • 475 Seaview Ave, Staten Island, NY 10305 · (718) 226-8855

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204X58136 (KY)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

1,150 other providers at this address

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About NPI 1700376530

Ian Lee Provancha, MD's National Provider Identifier is 1700376530, issued on May 17, 2018. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Lexington, KY. The record was last updated on Jun 6, 2024.