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Organization

ASHWIN L. NANAVATI MD, FACS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHWIN L. NANAVATI MD (OWNER)
(410) 553-6130
Entity
Organization

Contact information

Practice address
7845 OAKWOOD RD, SUITE #201, GLEN BURNIE, MD 21061
(410) 553-6130
(410) 553-6131
Mailing address
PO BOX 727, GLEN BURNIE, MD 21060-0727
(410) 553-6130
(410) 553-6131

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D27565
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1109
BLUECHOICE MARYLAND GRP #
MD
05
406406200
MD
01
8029AS
CAREFIRST MARYLAND GRP #
MD
Enumeration date
07/27/2006
Last updated
04/05/2012
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