Devatha, Ashok Panduranga

Devatha, Ashok Panduranga is an sole proprietor health care provider with primary practice located at 432 N Main St , New Carlisle OH 45344-1427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devatha, Ashok Panduranga can be contacted via phone (937) 846-4000.

Contact Information

Primary practice address
432 N Main St New Carlisle OH 45344-1427
Fax: (937) 846-4004
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-07-3686 D Ohio

Profile Details

NPI number 1497740328
LBN Legal business name Devatha, Ashok Panduranga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Sep 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497740328 NPPES
Ohio MEDICAID 2059833

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