MEDICARE: SHOBHA ASTHANA MD PC

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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1144787094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOBHA ASTHANA MD PC

Provider Business Mailing Address
First Line	:	PO BOX 16008
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15242-0008
Country	:	US
Telephone Number	:	412-920-5860
Fax Number	:	412-920-5861

Provider Business Practice Location Address
First Line	:	100 PEASANT VILLAGE LN STE 103
Second Line	:
City	:	ROSTRAVER TOWNSHIP
State	:	PA
Zip	:	15012-4333
Country	:	US
Telephone Number	:	724-929-6072
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	ANDY DRASKOVIC
Credential	:
Telephone Number	:	412-920-5860

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	02/27/2019

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