Provider Demographics
NPI:1013033521
Name:SASAN ASKARI, MD PA
Entity Type:Organization
Organization Name:SASAN ASKARI, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVOS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:512-692-4010
Mailing Address - Street 1:4007 JAMES CASEY ST STE A250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3369
Mailing Address - Country:US
Mailing Address - Phone:512-444-2111
Mailing Address - Fax:512-444-2114
Practice Address - Street 1:4007 JAMES CASEY ST
Practice Address - Street 2:STE A 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3369
Practice Address - Country:US
Practice Address - Phone:512-444-2111
Practice Address - Fax:512-444-2114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9492207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157672001Medicaid
TX00T13FOtherBCBS
TX128807807Medicaid
00104WMedicare ID - Type Unspecified
TX157672001Medicaid