Provider Demographics
NPI:1497857270
Name:ASHOKAN, ANNAMALAI (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNAMALAI
Middle Name:
Last Name:ASHOKAN
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 1:947 CASS ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4525
Mailing Address - Country:US
Mailing Address - Phone:831-649-6135
Mailing Address - Fax:831-649-6457
Practice Address - Street 1:947 CASS ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4525
Practice Address - Country:US
Practice Address - Phone:831-649-6135
Practice Address - Fax:831-649-6457
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43142207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A431421Medicare UPIN