Provider Demographics
NPI:1235344185
Name:DHABUWALA, ASHOK M (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:M
Last Name:DHABUWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHOK
Other - Middle Name:M
Other - Last Name:DHABUWALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:34 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1502
Mailing Address - Country:US
Mailing Address - Phone:516-671-2024
Mailing Address - Fax:516-676-2825
Practice Address - Street 1:298 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-965-3423
Practice Address - Fax:516-676-2825
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159041207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00933211Medicaid