Provider Demographics
NPI:1134206543
Name:LOHE, ASHUTOSH S (MD)
Entity type:Individual
Prefix:
First Name:ASHUTOSH
Middle Name:S
Last Name:LOHE
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 1:315 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906
Mailing Address - Country:US
Mailing Address - Phone:506-545-6491
Mailing Address - Fax:606-545-0342
Practice Address - Street 1:315 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906
Practice Address - Country:US
Practice Address - Phone:506-545-6491
Practice Address - Fax:606-545-0342
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY31703207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65943276Medicaid
G19897Medicare UPIN
KY65943276Medicaid