Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0101251231 | VA |
N | 207RG0100X | Gastroenterologist | 35131874 | OH |
NPI | 1033313614 |
---|---|
Provider Name | Dr. Ashutosh Subhash Naniwadekar |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23606-1393 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 19/05/2021 |