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NPI Code Detail

MEDICARE: OM AASTHA, LLC

MEDICARE: OM AASTHA, LLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1528602687
Entity Type Code : Organization
Provider Name (Legal Business Name) : OM AASTHA, LLC
Provider Business Mailing Address
First Line : 1900 NORTH LOOP W STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77018-8110
Country : US
Telephone Number : 832-551-3029
Fax Number : 832-629-1182
Provider Business Practice Location Address
First Line : 1900 NORTH LOOP W STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77018-8110
Country : US
Telephone Number : 832-551-3029
Fax Number : 832-629-1182
Authorized Official
Title or Position : MD
Name : PRANAV SHUKLA
Credential : MD
Telephone Number : 832-551-3029
Provider Enumeration Date : 11/01/2019
Last Update Date : 11/01/2019

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Directions to “OM AASTHA, LLC ” Practice Location

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