Provider Demographics
NPI:1427745827
Name:ASHWIN ENT
Entity type:Organization
Organization Name:ASHWIN ENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN, SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANANTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD MBA
Authorized Official - Phone:314-458-1600
Mailing Address - Street 1:1851 N MCKENZIE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-4704
Mailing Address - Country:US
Mailing Address - Phone:314-458-1600
Mailing Address - Fax:
Practice Address - Street 1:1851 N MCKENZIE ST STE 104
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4704
Practice Address - Country:US
Practice Address - Phone:314-458-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHWIN MEDICAL ENTERPRISES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center