Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35084551 | OH |
N | 208000000X | Pediatrician | 43728 | IA |
N | 2080P0202X | Pediatric Cardiologist | 35084551 | OH |
Y | 2080P0202X | Pediatric Cardiologist | 43728 | IA |
NPI | 1164636502 |
---|---|
Provider Name | Ravi C Ashwath |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 23/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221336 | UNISON (01) | OH |
000000527976 | ANTHEM (01) | OH |
1021951190001 | PA MEDICAID (01) | PA |
200206440A | OK MEDICAID (01) | OK |
2730334 | (05) | OH |
2730334 | BCMH (01) | OH |
363390 | WELLCARE (01) | OH |
7218085 | AETNA (01) | OH |
747672 | BUCKEYE (01) | OH |
P00411235 | RAILROAD MEDICARE (01) | OH |