Provider Demographics
NPI:1912105651
Name:SARAFF, KIRAN Y (MD)
Entity Type:Individual
Prefix:
First Name:KIRAN
Middle Name:Y
Last Name:SARAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE B-395
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504
Mailing Address - Country:US
Mailing Address - Phone:859-278-1982
Mailing Address - Fax:859-278-0093
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
Practice Address - Country:US
Practice Address - Phone:859-278-1982
Practice Address - Fax:859-278-0093
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY34068207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000528310OtherBC/BS
KY64340680Medicaid
KY64340680Medicaid
KY000000528310OtherBC/BS