Healthcare Provider Details

I. General information

NPI: 1184460016
Provider Name (Legal Business Name): DR. AASTHA VATS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 02/10/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MADISON AVENUE UNIVERSITY OF TENNESSEE SUITE 447
MEMPHIS TN
38103
US

IV. Provider business mailing address

1202, ISLAND PL R
MEMPHIS TN
38103
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-5319
  • Fax: 901-287-5062
Mailing address:
  • Phone: 646-721-4587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: