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IAN PROVANCHA, MD
MD
Vascular & Interventional Radiology Physician
NPI: 1700376530IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Vascular & Interventional Radiology PhysicianPrimary
Radiology — Vascular & Interventional Radiology
Code: 2085R0204X
58136(KY)
CMS Specialties
PrimaryDIAGNOSTIC RADIOLOGY
Education
OTHER
Class of 2018
Contact & Hours
Via practice · 2 locations total
- Address
- 800 ROSE ST
LEXINGTON, KY 40536 - Phone
- (859) 323-2222
Quick Facts
- NPI
- 1700376530
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 8
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