Individual
DR. ASHISH MADHUKAR ADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 985-1925
(393) 216-0442
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 985-1925
(239) 468-7929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME93123
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME93123
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME93123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05536
BCBS
FL
05
—
272447200
—
FL
01
—
307162
AVMED
FL
01
—
5101320
CIGNA
FL
01
—
7988757
AETNA
FL
01
—
P00237306
RAILROAD MEDICARE
—
01
—
P01319829
RR MEDICARE
FL
01
—
P203140
OPTIMUM
FL
01
—
P304612
FREEDOM
FL
Enumeration date
05/27/2006
Last updated
08/20/2024
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