Provider Demographics
NPI:1811029887
Name:KAMAT, ASHWINI
Entity Type:Individual
Prefix:
First Name:ASHWINI
Middle Name:
Last Name:KAMAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41082 CLERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2888
Mailing Address - Country:US
Mailing Address - Phone:248-508-8570
Mailing Address - Fax:
Practice Address - Street 1:37399 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2775
Practice Address - Country:US
Practice Address - Phone:734-464-7960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist