Basic Information
Provider Information
NPI: 1649687831
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHAT
FirstName: MUNISH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193567209
FaxNumber: 3193848559
Practice Location
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193567209
FaxNumber: 3193848559
Other Information
ProviderEnumerationDate: 07/19/2014
LastUpdateDate: 07/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X01083713AINN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X125065270ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD-48528IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100XR-10768IAN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RI0008XMD-48528IAN Allopathic & Osteopathic PhysiciansInternal MedicineHepatology
207RG0100XMD-48528IAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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