Active NPI
Ashwin L Nanavati, M.D.
- Surgery Physician
- Glen Burnie, MD
National Provider Identifier
1891760146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D27565
- Practice address
- 7845 Oakwood Rd
Suite #201
Glen Burnie, MD 21061 - Phone
- (410) 787-9404
- Fax
- (410) 553-6131
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D27565 | MD | Primary |
Addresses
Primary practice location
7845 Oakwood Rd
Suite #201
Glen Burnie, MD 21061
Mailing address
PO Box 727
Glen Burnie, MD 21060-0727
Phone (410) 787-9404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406406200 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1891760146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210600727",
"telephone_number": "410-787-9404",
"fax_number": "410-553-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7845 OAKWOOD RD",
"address_2": "SUITE #201",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-787-9404",
"fax_number": "410-553-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANAVATI",
"first_name": "ASHWIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D27565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406406200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.