Provider Demographics
NPI:1114155645
Name:RAOSHAN, ASEEMA (MD,)
Entity Type:Individual
Prefix:
First Name:ASEEMA
Middle Name:
Last Name:RAOSHAN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11914 ASTORIA BLVD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6064
Mailing Address - Country:US
Mailing Address - Phone:281-484-7619
Mailing Address - Fax:281-484-7632
Practice Address - Street 1:11914 ASTORIA BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6064
Practice Address - Country:US
Practice Address - Phone:281-484-7619
Practice Address - Fax:281-484-7632
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9942208000000X
CAA119538208000000X
OR157364208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics