Individual
DR. ASHUTOSH PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
VETERAN AFFAIRS MEDICAL CENTER, 950 CAMPELL AVENUE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
750 WHITNEY AVE, APTT# C 12, NEW HAVEN, CT 06511-1358
(203) 314-3259
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
4301088965
MI
2085N0700X
Neuroradiology Physician
4301088965
MI
2085R0202X
Diagnostic Radiology Physician
4301088965
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301088965
MI
2085U0001X
Diagnostic Ultrasound Physician
4301088965
MI
Other
Enumeration date
06/12/2007
Last updated
09/11/2025
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