Komarla, Ashok K

Komarla, Ashok K is an sole proprietor health care provider with primary practice located at 1109 E 139Th Ave , Tampa FL 33613-3420. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Komarla, Ashok K can be contacted via phone (813) 972-2705.

Contact Information

Primary practice address
1109 E 139Th Ave Tampa FL 33613-3420
Phone: (813) 972-2705
Fax: (813) 632-0933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME54582 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME54582 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME54582 Florida

Profile Details

NPI number 1790882439
LBN Legal business name Komarla, Ashok K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2006
Last updated Mar 17th, 2023 - about 2 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 1790882439 NPPES
Florida MEDICAID 374056100

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