Dr. Girish Vasant Ghade, M.D
Internal Medicine in Saint Augustine, FL. Individual provider (NPI-1).
NPI number1619084761
StatusActive
Last updated in NPPESMay 4, 2026
Details
- NPI
- 1619084761
- Entity type
- Individual (NPI-1)
- Name
- Dr. Girish Vasant Ghade
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2006
- Certification date
- May 4, 2026
- Last updated
- May 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01060057A | IN | Yes |
| 207R00000X | Internal Medicine | ME 107681 | FL |
Practice location
100 Deerfield Preserve BlvdSaint Augustine, FL 32086-5966
Phone 386-871-0829
Mailing address
Po Box 730096Ormond Beach, FL 32173-0096
Phone 386-506-8910
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