Provider Demographics
NPI:1891462271
Name:DMV ORTHOPEDICS
Entity Type:Organization
Organization Name:DMV ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:GOWDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-765-3499
Mailing Address - Street 1:PO BOX 6256
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-0923
Mailing Address - Country:US
Mailing Address - Phone:248-765-3499
Mailing Address - Fax:
Practice Address - Street 1:9135 PISCATAWAY RD STE 300
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2554
Practice Address - Country:US
Practice Address - Phone:056-870-3220
Practice Address - Fax:443-318-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty