Individual
ASHWIN RAVINDRANATH BHIRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 216-5911
Mailing address
540 LINCOLN PARK BLVD STE 200, DAYTON, OH 45429-6403
(937) 298-8058
(937) 298-5638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.145113
IL
207RC0000X
Cardiovascular Disease Physician
036.145113
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.145113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102930379
—
PA
Enumeration date
05/20/2011
Last updated
01/28/2021
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