MEDICARE: MS. CLAIRE KASUGA ASHE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	M001255	GU
2	2084P0804X	Child & Adolescent Psychiatry Physician	M001255	GU
3	2084P0805X	Geriatric Psychiatry Physician	M001255	GU

General Provider Information

NPI Number	:	1083820815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAIRE KASUGA ASHE MD

Provider Business Mailing Address
First Line	:	UIU BUILDING
Second Line	:	267 MARINE CORP DRIVE STE 2D
City	:	TAMUNING
State	:	GU
Zip	:	96913
Country	:	US
Telephone Number	:	671-646-7972
Fax Number	:	671-647-7972

Provider Business Practice Location Address
First Line	:	199 CHALAN SAN ANTONIO
Second Line	:	SUITE 375
City	:	TAMUNING
State	:	GU
Zip	:	96913-3529
Country	:	US
Telephone Number	:	671-646-7972
Fax Number	:	671-647-7972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	09/08/2008

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