MEDICARE: ASHU SYAL M.D.

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	172V00000X	Community Health Worker	M5532	TX
2	208000000X	Pediatrics Physician	M5532	TX
3	207Q00000X	Family Medicine Physician	M5532	TX
4	208000000X	Pediatrics Physician	4301079073	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1184048449	OTHER	TX	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1326464967	OTHER	TX	NPI

General Provider Information

NPI Number	:	1124064779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHU SYAL M.D.

Provider Business Mailing Address
First Line	:	4002 BURKE RD STE 100
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3451
Country	:	US
Telephone Number	:	281-741-2982
Fax Number	:	409-200-2628

Provider Business Practice Location Address
First Line	:	4002 BURKE RD STE 100
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3451
Country	:	US
Telephone Number	:	281-741-2982
Fax Number	:	409-200-2628

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	01/05/2026

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Directions to “ ASHU SYAL M.D.” Practice Location

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