Provider Demographics
NPI:1558674549
Name:ESNAKULA, ASHWINI KUMAR (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ASHWINI
Middle Name:KUMAR
Last Name:ESNAKULA
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-292-8881
Mailing Address - Fax:614-292-5849
Practice Address - Street 1:333 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1239
Practice Address - Country:US
Practice Address - Phone:614-292-8881
Practice Address - Fax:614-292-5849
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123948207ZP0102X
OH35138381207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0403817Medicaid
FL015012700Medicaid