Jai H.Gilliam, M.D. , Pllc

LBN: Jai H.Gilliam, M.D. , Pllc
Jai H.Gilliam, M.D. , Pllc is an health care organization with primary practice located at 1782 Bryan Station Rd , Lexington KY 40505-2133. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Jai H.Gilliam, M.D. , Pllc can be contacted via phone (859) 294-0077, or through Gilliam, Jai Herman via phone (859) 294-0077.

Contact Information

Primary practice address
1782 Bryan Station Rd Lexington KY 40505-2133
Phone: (859) 294-0077
Fax: (859) 294-0078
Website:
Map and Directions
Authorized official contact:
Name: Gilliam, Jai Herman Doctor of Medicine (MD)
Phone: (859) 294-0077

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 39604 Kentucky

Profile Details

NPI number 1245488964
LBN Legal business name Jai H.Gilliam, M.D. , Pllc
DBA Doing business as
Authorized official Gilliam, Jai Herman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2008
Last updated Sep 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245488964 NPPES
Kentucky MEDICAID 64111156

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