Provider Demographics
NPI:1194979278
Name:KORVES, ASHLEIGH E (DPM)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:E
Last Name:KORVES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 UNOCAL PL STE 207
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-0918
Mailing Address - Country:US
Mailing Address - Phone:707-284-3933
Mailing Address - Fax:
Practice Address - Street 1:4750 HOEN AVE STE B
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-7833
Practice Address - Country:US
Practice Address - Phone:707-575-6033
Practice Address - Fax:707-573-6157
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5436213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD330106100Medicaid
MD330106100Medicaid