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NPI Code Detail

MEDICARE: DR. ASHISH B MADHOK MD

MEDICARE:  DR. ASHISH B MADHOK  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
12080P0202XPediatric Cardiology Physician39874TN

Other Identifiers

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

General Provider Information

NPI Number : 1376533489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHISH B MADHOK MD
Provider Business Mailing Address
First Line : 2312 KNOB CREEK RD
Second Line : SUITE208
City : JOHNSON CITY
State : TN
Zip : 37604-2367
Country : US
Telephone Number : 423-610-1099
Fax Number : 423-610-1166
Provider Business Practice Location Address
First Line : 2312 KNOB CREEK RD
Second Line : SUITE208
City : JOHNSON CITY
State : TN
Zip : 37604-2367
Country : US
Telephone Number : 423-610-1099
Fax Number : 423-610-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 06/05/2008

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Directions to “ DR. ASHISH B MADHOK MD” Practice Location

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