MEDICARE: AASHISH NEUPANE 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	207R00000X	Internal Medicine Physician	2009004962	MO
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E-8636	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285916627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AASHISH NEUPANE M.D.

Provider Business Mailing Address
First Line	:	2901 S 74TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5156
Country	:	US
Telephone Number	:	479-314-7463
Fax Number	:	479-314-7464

Provider Business Practice Location Address
First Line	:	2901 S 74TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5156
Country	:	US
Telephone Number	:	479-314-7463
Fax Number	:	479-314-7464

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

Provider Enumeration Date	:	09/12/2011
Last Update Date	:	07/17/2014

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