Provider Demographics
NPI:1184848152
Name:ASHAR, KUNJLATA (MD)
Entity Type:Individual
Prefix:
First Name:KUNJLATA
Middle Name:
Last Name:ASHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 CEDAR DR W
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2621
Mailing Address - Country:US
Mailing Address - Phone:914-923-4409
Mailing Address - Fax:
Practice Address - Street 1:10 DANA RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1555
Practice Address - Country:US
Practice Address - Phone:914-231-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137479174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist