Provider Demographics
NPI:1205848025
Name:VASWANI, ASHOK N (MD)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:N
Last Name:VASWANI
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 STEWART AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4893
Mailing Address - Country:US
Mailing Address - Phone:516-739-0414
Mailing Address - Fax:516-222-5251
Practice Address - Street 1:901 STEWART AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4893
Practice Address - Country:US
Practice Address - Phone:516-739-0414
Practice Address - Fax:516-222-5251
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140756207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY70OtherVYTRA HEALTH PLANS
NY113326492OtherUNITED HEALTHCARE
NYAS1546OtherOXFORD HEALTH PLANS
NY43671OtherAETNA
NYC06907OtherHEALTHNET
NYA63714Medicare UPIN
NY70OtherVYTRA HEALTH PLANS