Provider Demographics
NPI:1053305714
Name:BEDI, ASHWANI K (MD)
Entity Type:Individual
Prefix:
First Name:ASHWANI
Middle Name:K
Last Name:BEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 SAINT MARYS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:901 SAINT MARYS DR STE 300
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0521
Practice Address - Country:US
Practice Address - Phone:812-473-2642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC143371207RC0000X, 207RC0001X
IN01061814A207RC0000X, 207RC0001X
KY40558207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64119795Medicaid
P00208488OtherRR MEDICARE
IN200825180Medicaid
7496592OtherAETNA PROVIDER ID #
740330OtherHEALTHLINK PROV ID #
ANTHEMOther000000391956
CAP01719252OtherRAILROAD MEDICARE
KY64119795Medicaid
CACA208955Medicare PIN
CAP01719252OtherRAILROAD MEDICARE