Ashok Llc | |
615 Fulton St Port Clinton OH 43452-2001 | |
(702) 453-3799 | |
(702) 453-5741 |
Full Name | Ashok Llc |
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Speciality | Internal Medicine |
Location | 615 Fulton St, Port Clinton, Ohio |
Authorized Official Name and Position | Varun Ashok (OWNER / PROVIDER) |
Authorized Official Contact | 4043534527 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashok Llc 7652 Sawmill Rd # 338 Dublin OH 43016-9296 Ph: (702) 453-3799 | Ashok Llc 615 Fulton St Port Clinton OH 43452-2001 Ph: (702) 453-3799 |
NPI Number | 1386418739 |
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Provider Enumeration Date | 11/07/2023 |
Last Update Date | 10/31/2024 |
Medicare PECOS PAC ID | 8729438288 |
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Medicare Enrollment ID | O20231222003098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386418739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Varun Ashok |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508271297 PECOS PAC ID: 6901183821 Enrollment ID: I20170502002527 |
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