Basic Information
Provider Information
NPI: 1881076818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIWAKOTI
FirstName: ASHMITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P O BOX 1000 DEPT 351
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381480001
CountryCode: US
TelephoneNumber: 9013952618
FaxNumber: 9013853261
Practice Location
Address1: 800 ROSE ST
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405367001
CountryCode: US
TelephoneNumber: 8593236047
FaxNumber: 8592573873
Other Information
ProviderEnumerationDate: 06/25/2015
LastUpdateDate: 09/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X57462TNN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X54762TNN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X55389KYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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