Provider Demographics
NPI:1598770356
Name:KASHA, ATUR A (DO)
Entity Type:Individual
Prefix:MR
First Name:ATUR
Middle Name:A
Last Name:KASHA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1600 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902
Mailing Address - Country:US
Mailing Address - Phone:915-313-9569
Mailing Address - Fax:915-313-0487
Practice Address - Street 1:1600 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902
Practice Address - Country:US
Practice Address - Phone:915-313-9569
Practice Address - Fax:915-313-0487
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2362208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177572801Medicaid
NM34552871Medicaid
TX177572802Medicaid
TXI46342Medicare UPIN
TX8F1519Medicare ID - Type UnspecifiedEL PASO