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NPI Code Detail

MEDICARE: ASANA INTEGRATED MEDICAL GROUP PC

MEDICARE: ASANA INTEGRATED MEDICAL GROUP PC
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
1103TC0700XClinical Psychologist
22084P0805XGeriatric Psychiatry PhysicianFNP29645CA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner
42084P0800XPsychiatry Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DA5859OTHERCARAILROAD MEDICARE GROUP I

General Provider Information

NPI Number : 1396783379
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASANA INTEGRATED MEDICAL GROUP PC
Provider Business Mailing Address
First Line : 4500 N LEWIS AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-7111
Country : US
Telephone Number : 605-606-0100
Fax Number :
Provider Business Practice Location Address
First Line : 4500 N LEWIS AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-7111
Country : US
Telephone Number : 605-606-0100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KELLY RHONE
Credential :
Telephone Number : 605-606-0275
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/14/2025

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Directions to “ASANA INTEGRATED MEDICAL GROUP PC ” Practice Location

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