Organization · NPI-2

Ashok K. Wadhera MD PA

Internal Medicine · Panama City, FL

NPI number1982903910
StatusActive
Last updated in NPPESMar 16, 2011

Details

NPI
1982903910
Entity type
Organization (NPI-2)
Legal business name
Ashok K. Wadhera MD PA
Organization subpart
No
Enumeration date
Mar 16, 2011
Last updated
Mar 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicineme74247FLYes

Practice location

304 W 23rd St
Panama City, FL 32405-4506

Phone 850-785-1700 · Fax 850-785-1759

Mailing address

304 West 23rd Street
Panama City, FL 32405

Phone 850-785-1700 · Fax 850-785-1759

Authorized official

Ashok Wadhera
Owner
8507851700

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