Healthcare Provider Details

I. General information

NPI: 1366747222
Provider Name (Legal Business Name): AKASH AJMERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 CARE WAY
FREDERICKSBRG VA
22401-8425
US

IV. Provider business mailing address

1340 CENTRAL PARK BLVD STE 100
FREDERICKSBURG VA
22401-4940
US

V. Phone/Fax

Practice location:
  • Phone: 540-371-2046
  • Fax:
Mailing address:
  • Phone: 540-741-4257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0101266221
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: