Individual provider Active NPI

Ashutosh Ron Virmani, M.D.

  • Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1639389240
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
38567 Issued in NC
Practice address
4626 Charlestowne Manor Dr
Charlotte, NC 28211-3185
Phone
(704) 362-2240
Fax
(704) 362-5702
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 38567 NC Primary

Addresses

Primary practice location

4626 Charlestowne Manor Dr
Charlotte, NC 28211-3185

Mailing address

4626 Charlestowne Manor Dr
Charlotte, NC 28211-3185
Phone (704) 362-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38567NCMDGynecology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639389240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 CHARLESTOWNE MANOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113185",
            "telephone_number": "704-362-2240",
            "fax_number": "704-362-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 CHARLESTOWNE MANOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113185",
            "telephone_number": "704-362-2240",
            "fax_number": "704-362-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRMANI",
        "first_name": "ASHUTOSH",
        "middle_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "38567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.