Individual
DR. ASHOK PANDURANGA DEVATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
432 N MAIN ST, NEW CARLISLE, OH 45344-1427
(937) 846-4000
(937) 846-4004
Mailing address
432 N MAIN ST, NEW CARLISLE, OH 45344-1427
(937) 846-4000
(937) 846-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-07-3686 D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059833
—
OH
Enumeration date
09/16/2005
Last updated
09/22/2010
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