MEDICARE: NINA SAKSENA ASRANI 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	2005016360	MO
2	207R00000X	Internal Medicine Physician	103681	MN
3	207R00000X	Internal Medicine Physician	51041	MN
4	207RC0000X	Cardiovascular Disease Physician	51041	MN
5	207RC0000X	Cardiovascular Disease Physician	P4140	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00759926	OTHER	MN	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1922210939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA SAKSENA ASRANI M.D.

Provider Business Mailing Address
First Line	:	1300 W TERRELL AVE STE 500
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2810
Country	:	US
Telephone Number	:	817-252-5000
Fax Number	:	817-252-5060

Provider Business Practice Location Address
First Line	:	1300 W TERRELL AVE STE 500
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2810
Country	:	US
Telephone Number	:	817-252-5000
Fax Number	:	817-252-5060

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	09/03/2014

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