Individual
DR. ASHWINI WAGHOLIKAR PANDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 VIRGINIA WAY STE 300, BRENTWOOD, TN 37027-7542
(615) 695-4977
(615) 263-3348
Mailing address
5301 VIRGINIA WAY STE 300, BRENTWOOD, TN 37027-7542
(615) 695-4977
(615) 263-3348
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01064993A
IN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
44560
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569161
ANTHEM BCBS OF IN
IN
05
—
200901720
—
IN
05
—
34208600
—
WI
01
—
M400061894
MEDICARE
IN
Enumeration date
07/23/2006
Last updated
07/21/2022
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