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NPI Code Detail

MEDICARE: SHOBHA ASTHANA MD

MEDICARE:   SHOBHA  ASTHANA  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
12084N0402XNeurology with Special Qualifications in Child Neurology PhysicianMD044901EPA

General Provider Information

NPI Number : 1760464408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOBHA ASTHANA MD
Provider Business Mailing Address
First Line : 1397 CONNELLSVILLE RD
Second Line :
City : LEMONT FURNACE
State : PA
Zip : 15456-1319
Country : US
Telephone Number : 724-438-7669
Fax Number : 724-434-5753
Provider Business Practice Location Address
First Line : 100 PEASANT VILLAGE LN
Second Line : SUITE 101
City : BELLE VERNON
State : PA
Zip : 15012-4333
Country : US
Telephone Number : 724-929-6072
Fax Number : 724-929-2812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 10/24/2011

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