Provider Demographics
NPI:1427602929
Name:ASHWINI GULWADI, PLLC
Entity Type:Organization
Organization Name:ASHWINI GULWADI, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:ASHWINI
Authorized Official - Middle Name:
Authorized Official - Last Name:GULWADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-984-2228
Mailing Address - Street 1:101 W LIBERTY ST APT 360
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1365
Mailing Address - Country:US
Mailing Address - Phone:734-984-2228
Mailing Address - Fax:
Practice Address - Street 1:101 W LIBERTY ST APT 360
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1365
Practice Address - Country:US
Practice Address - Phone:734-984-2228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty