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NPI Code Detail

MEDICARE: CAROL J ASHMAN M.D.

MEDICARE:   CAROL J ASHMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician35068642OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417950023
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL J ASHMAN M.D.
Provider Business Mailing Address
First Line : 4668 PEMBROKE BLVD
Second Line : STE 117
City : VIRGINIA BEACH
State : VA
Zip : 23455
Country : US
Telephone Number : 757-965-4145
Fax Number : 757-965-4168
Provider Business Practice Location Address
First Line : 4668 PEMBROKE BLVD
Second Line : STE 117
City : VIRGINIA BEACH
State : VA
Zip : 23455-6423
Country : US
Telephone Number : 757-965-4145
Fax Number : 757-965-4168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/09/2008

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Directions to “ CAROL J ASHMAN M.D.” Practice Location

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