Ashutosh Rastogi, Mdpa Inc | |
5813 W Wadley Ave Midland TX 79707-5055 | |
(432) 570-0052 | |
(432) 570-0053 |
Full Name | Ashutosh Rastogi, Mdpa Inc |
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Speciality | Internal Medicine |
Location | 5813 W Wadley Ave, Midland, Texas |
Authorized Official Name and Position | Ashutosh Rastogi (PRESIDENT) |
Authorized Official Contact | 4323520007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashutosh Rastogi, Mdpa Inc 5813 W Wadley Ave Midland TX 79707-5055 Ph: (432) 570-0052 | Ashutosh Rastogi, Mdpa Inc 5813 W Wadley Ave Midland TX 79707-5055 Ph: (432) 570-0052 |
NPI Number | 1457919540 |
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Provider Enumeration Date | 06/03/2019 |
Last Update Date | 06/03/2019 |
Medicare PECOS PAC ID | 0143559807 |
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Medicare Enrollment ID | O20190906000348 |
Identifier | Type | State | Issuer |
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1457919540 | NPI | - | NPPES |
Provider Name | Ashutosh Rastogi |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1306884986 PECOS PAC ID: 9830150093 Enrollment ID: I20050824000967 |
Provider Name | Fukamanji Sikazwe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821679051 PECOS PAC ID: 4385044395 Enrollment ID: I20210614001081 |
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