Provider Demographics
NPI:1962727396
Name:KARNANI, ASHOK GOPE (PT)
Entity type:Individual
Prefix:
First Name:ASHOK
Middle Name:GOPE
Last Name:KARNANI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8918 WHITE EAGLE E
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9598
Mailing Address - Country:US
Mailing Address - Phone:419-885-0248
Mailing Address - Fax:
Practice Address - Street 1:8918 WHITE EAGLE E
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9598
Practice Address - Country:US
Practice Address - Phone:419-885-0248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH004494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist