Healthcare Provider Details
I. General information
NPI: 1760759740
Provider Name (Legal Business Name): ASHVINI HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2011
Last Update Date: 11/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2271 STATE HIGHWAY 33 STE 110
HAMILTON NJ
08690-1749
US
IV. Provider business mailing address
2271 STATE HIGHWAY 33 STE 110
HAMILTON NJ
08690-1749
US
V. Phone/Fax
- Phone: 609-586-0300
- Fax:
- Phone: 609-586-0300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BELA
A
PATEL
Title or Position: OWNER
Credential: M.D.
Phone: 609-586-0300