Healthcare Provider Details

I. General information

NPI: 1336378405
Provider Name (Legal Business Name): ASHA SHRESTHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 S BEDFORD RD
MOUNT KISCO NY
10549-3412
US

IV. Provider business mailing address

12 CROMWELL DR
ORONO ME
04473-3639
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-1370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD20080
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number302265
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: