MEDICARE: RICHARD D ASH MD

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
1	208000000X	Pediatrics Physician	MD023533E	PA
2	208000000X	Pediatrics Physician	G38028	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1366445298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD D ASH MD

Provider Business Mailing Address
First Line	:	11875 DUBLIN BLVD
Second Line	:	SUITE C140
City	:	DUBLIN
State	:	CA
Zip	:	94568-2843
Country	:	US
Telephone Number	:	925-587-2505
Fax Number	:	925-587-2511

Provider Business Practice Location Address
First Line	:	5601 NORRIS CANYON RD
Second Line	:	SUITE 230
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5407
Country	:	US
Telephone Number	:	925-277-7550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/16/2012

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Directions to “ RICHARD D ASH MD” Practice Location

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