Provider Demographics
NPI:1265495063
Name:WIGNAKUMAR, VELUPILLAI (MD, FRCS)
Entity Type:Individual
Prefix:DR
First Name:VELUPILLAI
Middle Name:
Last Name:WIGNAKUMAR
Suffix:
Gender:M
Credentials:MD, FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 NICHOLASVILLE ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503
Mailing Address - Country:US
Mailing Address - Phone:859-619-1372
Mailing Address - Fax:606-545-5591
Practice Address - Street 1:80 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-7363
Practice Address - Country:US
Practice Address - Phone:606-545-5539
Practice Address - Fax:606-545-5591
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYKY34425208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64027055Medicaid
KY64027055Medicaid