MEDICARE: AASHA PEDIATRICS, INC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1689605578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AASHA PEDIATRICS, INC

Provider Business Mailing Address
First Line	:	1569 LEXANN AVE
Second Line	:	SUITE # 230
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1794
Country	:	US
Telephone Number	:	408-274-9099
Fax Number	:	408-274-9009

Provider Business Practice Location Address
First Line	:	1569 LEXANN AVE
Second Line	:	SUITE # 230
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1794
Country	:	US
Telephone Number	:	408-274-9099
Fax Number	:	408-274-9009

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MEENA SATHAPPAN
Credential	:	MD
Telephone Number	:	408-274-9099

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/07/2008

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