Provider Demographics
NPI:1578524476
Name:MURTHY, ASHA (M D)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:MURTHY
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 FENWICK WAY CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4219
Mailing Address - Country:US
Mailing Address - Phone:281-300-9180
Mailing Address - Fax:
Practice Address - Street 1:5315 FENWICK WAY CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4219
Practice Address - Country:US
Practice Address - Phone:281-300-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-49144207RH0003X
TXL7820207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8K8824OtherBCBS
10016212OtherAMERICAID
268727OtherAMERIGROUP
7894546OtherAETNA
TX163559101Medicaid
4299220OtherBLUE LINK
P00070972OtherRAILROAD MEDICARE
TX086025OtherMHHNP
10016213OtherAMERICAID
TX163559102Medicaid
4299220OtherBLUE LINK
P00070972OtherRAILROAD MEDICARE
10016213OtherAMERICAID