Provider Demographics
NPI:1548427537
Name:TALANOW, ROLAND (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:
Last Name:TALANOW
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 MERRICK DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502
Mailing Address - Country:US
Mailing Address - Phone:859-559-1863
Mailing Address - Fax:859-276-1540
Practice Address - Street 1:1725 HARRODSBURG RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3601
Practice Address - Country:US
Practice Address - Phone:859-278-7226
Practice Address - Fax:859-276-1540
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY440012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP400027965OtherMEDICARE
KY7100142350Medicaid