Provider Demographics
NPI:1043262181
Name:NAKHASI, ASHOK K (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:K
Last Name:NAKHASI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2710 SAINT FRANCIS DR
Mailing Address - Street 2:SUITE # 302
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5619
Mailing Address - Country:US
Mailing Address - Phone:319-272-8644
Mailing Address - Fax:319-272-8637
Practice Address - Street 1:2710 SAINT FRANCIS DR
Practice Address - Street 2:SUITE # 302
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5619
Practice Address - Country:US
Practice Address - Phone:319-272-8644
Practice Address - Fax:319-272-8637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA227092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0287904Medicaid
IA185629OtherBCBS
IA0287904Medicaid
IA185629OtherBCBS