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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANGAYARKARASI THANDAMPALLAYAM AJJEYA GOWDER, MD

Active

207WX0109X · LEXINGTON, KY

Registration Details

NPI Number
1710338363
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2016 (9.8686919264626 yrs)
Last Updated
Jun 7, 2023
Licenses
57429 (KY)
57429 (KY)

Practice Information

Address
740 S LIMESTONE STE B101
LEXINGTON, KY, 405360001
Browse KY providers · Browse ZIP 40536
Phone
8593235661
Fax
8593236411
Primary Specialty
207WX0109X
207WX0109X
Additional Specialty
207WX0109X

Other 207WX0109X Providers in LEXINGTON, KY

Name Credential NPI
ROBERT WALTER JENSEN MD 1083741961
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.