Basic Information
| Provider Information | |||||||||
| NPI: | 1477897718 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SHRI VAISH PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 910632 | ||||||||
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| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405910632 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 9 LINVILLE DR | ||||||||
| Address2: | |||||||||
| City: | PARIS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403612129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9999999999 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2012 | ||||||||
| LastUpdateDate: | 05/08/2013 | ||||||||
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| AuthorizedOfficialLastName: | VAISH | ||||||||
| AuthorizedOfficialFirstName: | SHRI | ||||||||
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| AuthorizedOfficialTitleorPosition: | M.D./ OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9999999999 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 43472 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.