Provider Demographics
NPI:1972099794
Name:VIQUEZ-BEITA, ANA KAROLINA (MD)
Entity type:Individual
Prefix:
First Name:ANA KAROLINA
Middle Name:
Last Name:VIQUEZ-BEITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAROLINA
Other - Middle Name:
Other - Last Name:VIQUEZ BEITA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTHER
Mailing Address - Street 1:900 S LIMESTONE CTW 304
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:859-323-9918
Mailing Address - Fax:859-323-1197
Practice Address - Street 1:900 S LIMESTONE CTW 304
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-9918
Practice Address - Fax:859-323-1197
Is Sole Proprietor?:No
Enumeration Date:2018-07-04
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY390200000X
IN01084870A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300052025Medicaid
IN000001557183OtherANTHEM PTAN
IN1102368824OtherANTHEM PTAN