Individual
ASHWIN PRAFULLA PIMPALWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 281-8303
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017016925
MO
2086S0120X
Pediatric Surgery Physician
Primary
2017016925
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207523408
—
MO
01
—
782345
HEALTHLINK
MO
Enumeration date
12/05/2006
Last updated
07/29/2022
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