Healthcare Provider Details

I. General information

NPI: 1043286271
Provider Name (Legal Business Name): ASHOK KRISHNASWAMY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 NORTH CRAIN HWY UNIT 1A
GLEN BURNIE MD
21061-2904
US

IV. Provider business mailing address

1412 NORTH CRAIN HWY UNIT 1A
GLEN BURNIE MD
21061-2904
US

V. Phone/Fax

Practice location:
  • Phone: 410-768-6566
  • Fax: 410-768-0768
Mailing address:
  • Phone: 410-768-6566
  • Fax: 410-768-0768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0026141
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: