Individual
ASHLEY MARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(281) 766-0959
Mailing address
2700 UNIVERSITY SQUARE DR, RADIOLOGY ASSOCIATES OF TAMPA, TAMPA, FL 33612-5513
(813) 253-2721
(813) 254-4597
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
058284
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME107580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058284
LICENSE
GA
Enumeration date
11/09/2006
Last updated
01/21/2025
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