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NPI Code Detail

MEDICARE: DR. ASHWINI K DAVULURI MD, FACC

MEDICARE: DR. ASHWINI K DAVULURI MD, FACC
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
1207RC0000XCardiovascular Disease PhysicianME88770FL
2207UN0901XNuclear Cardiology PhysicianME88770FL

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 : 1396718359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHWINI K DAVULURI MD, FACC
Provider Business Mailing Address
First Line : PO BOX 746652
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6652
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 14534 OLD SAINT AUGUSTINE RD STE 3420
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-2616
Country : US
Telephone Number : 904-493-8001
Fax Number : 904-376-3207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 10/10/2024

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