Provider Demographics
NPI:1376588582
Name:PAL, ASHISH (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:
Last Name:PAL
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2560
Mailing Address - Country:US
Mailing Address - Phone:407-898-8449
Mailing Address - Fax:407-898-8756
Practice Address - Street 1:1206 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2560
Practice Address - Country:US
Practice Address - Phone:407-898-8449
Practice Address - Fax:407-898-8756
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74621174400000X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1015450OtherCAREPLUS
FL1095816OtherAMERIGROUP
FL42637OtherBLUE CROSS BLUE SHIELD
FL19851OtherWELLCARE
FL107503044OtherCIGNA
FL242799OtherAVMED
FL60069629OtherRAILROAD
FL631717OtherHUMANA
FL7503044009OtherCIGNA
FL10481801OtherTRICARE
FL1513060OtherWELLCARE
FL225252OtherHUMANA
FLWMTRXOtherBLUE CROSS BLUE SHIELD
FL60069629OtherRAILROAD