MEDICARE: ASHMED VAZQUEZ M.D.

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	207V00000X	Obstetrics & Gynecology Physician	032833	GA

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	:	1689779589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHMED VAZQUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15746
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31416-2446
Country	:	US
Telephone Number	:	912-355-7303
Fax Number	:	912-355-7395

Provider Business Practice Location Address
First Line	:	5354 REYNOLDS ST STE 304
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-6010
Country	:	US
Telephone Number	:	912-355-7303
Fax Number	:	912-355-7395

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/21/2022

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Directions to “ ASHMED VAZQUEZ M.D.” Practice Location

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