Individual
PRAVEEN VASHIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 DOCTORS DR STE 1, HENDERSONVILLE, NC 28792
(828) 654-0073
(828) 681-5036
Mailing address
805 6TH AVE W, STE 100, HENDERSONVILLE, NC 28739-4137
(828) 692-8045
(828) 692-6630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083453
MI
207RH0003X
Hematology & Oncology Physician
Primary
2012-00998
NC
207RX0202X
Medical Oncology Physician
2012-00998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173Y5
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
5920576
—
NC
01
—
9688868
CIGNA
NC
01
—
9911096
AETNA
NC
01
—
P01083724
RAILROAD MEDICARE
NC
Enumeration date
04/27/2007
Last updated
06/03/2021
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