Provider Demographics
NPI:1093107245
Name:MUKHERJI, ASHOKE
Entity Type:Individual
Prefix:
First Name:ASHOKE
Middle Name:
Last Name:MUKHERJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 VIRGINIA WAY STE C23
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7598
Mailing Address - Country:US
Mailing Address - Phone:615-732-0768
Mailing Address - Fax:888-639-8399
Practice Address - Street 1:5123 VIRGINIA WAY STE C23
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7598
Practice Address - Country:US
Practice Address - Phone:615-732-0768
Practice Address - Fax:888-639-8399
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist