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Individual

ASHVIN T RAGOOWANSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
811 COX RD, GASTONIA, NC 28054-3453
(704) 852-3888
(704) 852-4456
Mailing address
811 COX RD, GASTONIA, NC 28054-3453
(704) 852-3888
(704) 852-4456

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2016-01599
NC
207T00000X
Neurological Surgery Physician
MD050194L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014211140001
PA
05
0014211140004
PA
05
3810010808
WV
Enumeration date
07/12/2005
Last updated
07/08/2016
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