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Individual
ASHA GANPAT WURDEMAN
Active
Individual
ASHA GANPAT WURDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
677
NE
207Q00000X
Family Medicine Physician
R877
AZ
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
677
NE
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
Q8681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q8681
MEDICAL LICENSE
TX
01
—
R877
TRAINING PERMIT
AZ
Enumeration date
01/10/2008
Last updated
04/18/2018
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