Individual
ASHWATH JONATHAN SAMPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 MARKET ST STE 400, CHAPEL HILL, NC 27516-4061
(984) 974-3839
(984) 974-3692
Mailing address
410 MARKET ST STE 400, CHAPEL HILL, NC 27516-4061
(984) 974-3839
(984) 974-3692
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.169691
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
07/17/2024
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