| Tristate Primary Care | |
|
2020 W Hearthstone Ct Ashland KY 41102-9445 | |
| (606) 923-2819 | |
| Not Available |
| Full Name | Tristate Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2020 W Hearthstone Ct, Ashland, Kentucky |
| Authorized Official Name and Position | Sanjiv Gupta (PHYSICIAN) |
| Authorized Official Contact | 6064742200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Primary Care 2020 W Hearthstone Ct Ashland KY 41102-9445 Ph: (606) 923-2819 | Tristate Primary Care 2020 W Hearthstone Ct Ashland KY 41102-9445 Ph: (606) 923-2819 |
| NPI Number | 1992258305 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992258305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | TC494 (Kentucky) | Primary |
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