MEDICARE: ASHA KOHLI 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	207Q00000X	Family Medicine Physician	J1284	TX

General Provider Information

NPI Number	:	1942208350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHA KOHLI MD

Provider Business Mailing Address
First Line	:	4626 RIVERSTONE BOULEVARD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459
Country	:	US
Telephone Number	:	281-403-6218
Fax Number	:	281-403-6206

Provider Business Practice Location Address
First Line	:	4626 RIVERSTONE BLVD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6141
Country	:	US
Telephone Number	:	281-403-6218
Fax Number	:	281-403-6206

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

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	03/28/2022

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