Provider Demographics
NPI:1922010792
Name:WARRIER, PRIYA J (MD)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:J
Last Name:WARRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 SHELBYVILLE RD
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2992
Mailing Address - Country:US
Mailing Address - Phone:502-429-8585
Mailing Address - Fax:855-656-7325
Practice Address - Street 1:3165 BEAUMONT CENTRE CIR STE 180
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1965
Practice Address - Country:US
Practice Address - Phone:859-629-4488
Practice Address - Fax:855-656-7325
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42679207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100113820Medicaid
107273OtherSIHO
KY7100113820Medicaid
9709601OtherCIGNA
KY611389493050OtherHUMANA CARESOURCE
KY000000624982OtherANTHEM
107273OtherSHIO
KY6824OtherMEDICARE GROUP #
KY682421Medicare PIN
KY7090811OtherAETNA
KY65934465Medicaid
KY7100113820Medicaid
KY0682421Medicare PIN