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Individual

ASHWINI NAYAK AMMUNJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9139 W THUNDERBIRD RD STE 275, PEORIA, AZ 85381-4922
(623) 900-5181
(623) 900-5290
Mailing address
9139 W THUNDERBIRD RD STE 275, PEORIA, AZ 85381-4922
(623) 900-5181
(623) 900-5290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48269
AZ
208M00000X
Hospitalist Physician
48269
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
943914
AZ
01
Z196566
MEDICARE PTAN
AZ
Enumeration date
05/27/2011
Last updated
05/16/2024
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