Provider Demographics
NPI:1275722183
Name:SUMA K SARAFF MD INC
Entity Type:Organization
Organization Name:SUMA K SARAFF MD INC
Other - Org Name:LEXINGTON INTERNAL MEDICINE & CARDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SARAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-278-1982
Mailing Address - Street 1:PO BOX 911065
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40591-1065
Mailing Address - Country:US
Mailing Address - Phone:859-278-1982
Mailing Address - Fax:859-278-0095
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE B-395
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-1982
Practice Address - Fax:859-278-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0007996296OtherAETNA
000000256300OtherBC/BC
0741701OtherMEDICARE LEGACY
078845147OtherCHAMPUS/TRICARE
612210600OtherDOL
KY7100230780Medicaid
P00157716OtherRAILROAD MEDICARE
KY64018096Medicaid
0741701OtherMEDICARE LEGACY
P00157716OtherRAILROAD MEDICARE
000000256300OtherBC/BC
000000256300OtherBC/BC
=========OtherBLUEGRASS FAMILY HEALTH