Provider Demographics
NPI:1346034287
Name:DOBHAL, AYUSHMAN
Entity type:Individual
Prefix:
First Name:AYUSHMAN
Middle Name:
Last Name:DOBHAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 WISCONSIN AVE NW, 4TH FLOOR
Mailing Address - Street 2:DEPT OF PEDIATRICS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:202-243-3400
Mailing Address - Fax:877-680-5502
Practice Address - Street 1:4200 WISCONSIN AVE NW, 4TH FLOOR
Practice Address - Street 2:DEPT OF PEDIATRICS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016
Practice Address - Country:US
Practice Address - Phone:202-243-3400
Practice Address - Fax:877-680-5502
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program