Provider Demographics
NPI:1295928539
Name:HEMAL, ASHOK KUMAR
Entity type:Individual
Prefix:
First Name:ASHOK
Middle Name:KUMAR
Last Name:HEMAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27102-0344
Mailing Address - Country:US
Mailing Address - Phone:336-716-2255
Mailing Address - Fax:336-716-9042
Practice Address - Street 1:140 CHARLOIS BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1522
Practice Address - Country:US
Practice Address - Phone:336-716-2255
Practice Address - Fax:336-716-9042
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00951208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810010545Medicaid
NC147F2OtherBCBS
NC5908091Medicaid
VA1295928539Medicaid
NC811713OtherPARTNERS
SCQ0095UMedicaid
NC202775OtherMEDCOST
NC9692108OtherAETNA
VA1295928539Medicaid