Healthcare Provider Details

I. General information

NPI: 1942253703
Provider Name (Legal Business Name): ASHOK K PATNAIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HOSPITAL DR STE 100
SOUTH WILLIAMSON KY
41503-4095
US

IV. Provider business mailing address

306 HOSPITAL DR STE 100
SOUTH WILLIAMSON KY
41503-4095
US

V. Phone/Fax

Practice location:
  • Phone: 606-237-1757
  • Fax: 606-237-4946
Mailing address:
  • Phone: 606-237-1757
  • Fax: 606-237-4946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number20694
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: