MEDICARE: ANIL V ASGAONKAR MD

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	207RN0300X	Nephrology Physician	N5539	TX

General Provider Information

NPI Number	:	1992758155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIL V ASGAONKAR MD

Provider Business Mailing Address
First Line	:	1505 LBJ FWY STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6065
Country	:	US
Telephone Number	:	214-358-2300
Fax Number	:	214-579-6941

Provider Business Practice Location Address
First Line	:	3400 CORINTH PKWY
Second Line	:	SUITE 140
City	:	CORINTH
State	:	TX
Zip	:	76208-1311
Country	:	US
Telephone Number	:	940-312-7356
Fax Number	:	940-312-7357

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	06/28/2024

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