Provider Demographics
NPI:1144767898
Name:RAVINDRA PATIL, ASHISH (MD, PHD)
Entity type:Individual
Prefix:
First Name:ASHISH
Middle Name:
Last Name:RAVINDRA PATIL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:ASHISH
Other - Middle Name:
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1910 E INNOVATION PARK DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1962
Mailing Address - Country:US
Mailing Address - Phone:520-887-2155
Mailing Address - Fax:
Practice Address - Street 1:1910 E INNOVATION PARK DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1962
Practice Address - Country:US
Practice Address - Phone:786-449-0557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ68793207ZH0000X, 207ZP0007X, 207ZP0102X
NY321536207ZP0007X, 207ZH0000X, 207ZP0102X
LA23-368207ZP0102X
FLS-24-331207ZH0000X
NM390200000X
CAA187591207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program