Provider Demographics
NPI:1437826534
Name:ASHISH RUNGTA MD PLLC
Entity type:Organization
Organization Name:ASHISH RUNGTA MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNGTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-252-3807
Mailing Address - Street 1:2565 TOPSHAM DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3058
Mailing Address - Country:US
Mailing Address - Phone:248-206-0955
Mailing Address - Fax:248-800-7262
Practice Address - Street 1:2565 TOPSHAM DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3058
Practice Address - Country:US
Practice Address - Phone:248-206-0955
Practice Address - Fax:248-800-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty