Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 0101270728 | VA |
N | 207RI0011X | Interventional Cardiology | 2012-00609 | NC |
NPI | 1114287117 |
---|---|
Provider Name | Ashesh N. Buch |
First Address | Belfast, ME 04915-4004 |
Second Address | Chesapeake, VA 23320-0302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2012 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1702Y | BCBSNC (01) | NC |
5921076 | (05) | NC |