| Ashok Kumar Dhaduvai Md Pa | |
|
2901 Us Highway 301 N Ellenton FL 34222-2007 | |
| (941) 729-6818 | |
| (941) 723-9449 |
| Full Name | Ashok Kumar Dhaduvai Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2901 Us Highway 301 N, Ellenton, Florida |
| Authorized Official Name and Position | Ashok Kumar Dhaduvai (PROVIDER) |
| Authorized Official Contact | 9417296818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashok Kumar Dhaduvai Md Pa 2901 Us Highway 301 N Ellenton FL 34222-2007 Ph: (941) 729-6818 | Ashok Kumar Dhaduvai Md Pa 2901 Us Highway 301 N Ellenton FL 34222-2007 Ph: (941) 729-6818 |
| NPI Number | 1073715819 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 9234298043 |
|---|---|
| Medicare Enrollment ID | O20081110000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073715819 | NPI | - | NPPES |
| 057742100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0064266 (Florida) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | ME0060506 (Florida) | Primary |
| Provider Name | Ashok Kumar Dhaduvai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053345306 PECOS PAC ID: 3971526609 Enrollment ID: I20060109000960 |
| Provider Name | Nicole Christine O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681117 PECOS PAC ID: 6103125281 Enrollment ID: I20160422002031 |
| Provider Name | Sarah Marie Mastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342747 PECOS PAC ID: 3779916960 Enrollment ID: I20191202000890 |
Ellenton Family Practice Direct Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 25th Dr E, Ellenton, FL 34222 Phone: 941-321-8299 | |
Maxhealth Ellenton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7915 Us Highway 301 N Ste 107, Ellenton, FL 34222 Phone: 941-847-1101 Fax: 941-417-2811 | |
Silver Alert Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5702 New Paris Way, Ellenton, FL 34222 Phone: 941-447-5015 | |
Family & Internal Medicine Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7915 Us 301 Hwy N, Suite 103, Ellenton, FL 34222 Phone: 941-721-1900 Fax: 941-721-3600 |