Provider Demographics
NPI:1871538025
Name:VASHISHTA, ASHOK K (MD)
Entity type:Individual
Prefix:
First Name:ASHOK
Middle Name:K
Last Name:VASHISHTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2940 HEALTH PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858
Mailing Address - Country:US
Mailing Address - Phone:989-779-5299
Mailing Address - Fax:989-779-5283
Practice Address - Street 1:2940 HEALTH PARKWAY
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858
Practice Address - Country:US
Practice Address - Phone:989-779-5299
Practice Address - Fax:989-779-5283
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301074554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4426938Medicaid
MI4426938Medicaid
G35289Medicare UPIN