Provider Demographics
NPI:1881857076
Name:DWARAKANATH, SANJAY (MB BS)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:
Last Name:DWARAKANATH
Suffix:
Gender:M
Credentials:MB BS
Other - Prefix:DR
Other - First Name:SANJAY
Other - Middle Name:
Other - Last Name:DWARAKANATH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:800 ROSE STREET N202 UKMC
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-619-1701
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE STREET N202 UKMC
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1665207L00000X
KY43538207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology