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Individual

DR. ASHFAQ A TURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 E DOUGLAS RD, STE 208, MISHAWAKA, IN 46545-1464
(574) 232-5928
(574) 232-4888
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0760

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01040179A
IN
207RI0011X
Interventional Cardiology Physician
01040179A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000805977
BCBS
IN
05
100092580
IN
05
100092580A
IN
Enumeration date
06/14/2005
Last updated
09/14/2016
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