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Individual

ASHUTOSH V KSHIRSAGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
935 THORN RUN RD, SUITE 210, MOON TWP, PA 15108-2861
(412) 299-8550
(412) 299-8922
Mailing address
935 THORN RUN RD, SUITE 210, MOON TWP, PA 15108-2861
(412) 299-8550
(412) 299-8922

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101239960
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101239960
STATE MEDICAL LICENSE
VA
05
102847272
PA
01
D0063590
STATE LICENSE
MD
01
MD445740
MEDICAL LICENSE
PA
Enumeration date
07/14/2006
Last updated
03/07/2023
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