Provider Demographics
NPI:1689875031
Name:ASUNDI, ASHOKA RAMA (MD)
Entity Type:Individual
Prefix:
First Name:ASHOKA
Middle Name:RAMA
Last Name:ASUNDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PRESSLER ST APT 3119
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5189
Mailing Address - Country:US
Mailing Address - Phone:512-496-5782
Mailing Address - Fax:
Practice Address - Street 1:507 PRESSLER ST APT 3119
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5189
Practice Address - Country:US
Practice Address - Phone:512-496-5782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9132207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP1-0026717OtherINSTITUTIONAL PERMIT
TX202262601Medicaid
TX202262603Medicaid
TX202262601Medicaid
TX202262603Medicaid