Provider Demographics
NPI:1275111288
Name:METKAR, ASHWINI KOTKAR (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:ASHWINI
Middle Name:KOTKAR
Last Name:METKAR
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:ASHWINI
Other - Middle Name:CHANDRAKANT
Other - Last Name:KOTKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCE
Mailing Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131
Mailing Address - Country:US
Mailing Address - Phone:505-272-5428
Mailing Address - Fax:505-272-6439
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCE
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-5428
Practice Address - Fax:505-272-6439
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program