Individual
DR. ASHOK BHANUSHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MBA
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD440163
PA
2085R0204X
Vascular & Interventional Radiology Physician
002735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02186161
MEDICAID GROUP#
NY
01
—
02186203
MEDICAID GROUP#
NY
05
—
02830335
—
NY
01
—
W34991
GROUP #
NY
01
—
W35021
GROUP #
NY
Enumeration date
02/06/2007
Last updated
04/16/2025
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