Individual
DR. ASHVIN KUMAR DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16811 SOUTHWEST FWY, 2ND FLOOR, SUGAR LAND, TX 77479
(281) 690-4678
(281) 565-8808
Mailing address
16811 SOUTHWEST FWY, 2ND FLOOR, SUGAR LAND, TX 77479
(281) 690-4678
(281) 565-8808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2014002054
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Q5643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351536301
—
TX
05
—
351536303
—
TX
01
—
8FK316
BLUE CROSS BLUE SHIELD
TX
01
—
8FX379
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/07/2009
Last updated
08/15/2016
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