Provider Demographics
NPI:1760464408
Name:ASTHANA, SHOBHA (MD)
Entity Type:Individual
Prefix:
First Name:SHOBHA
Middle Name:
Last Name:ASTHANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1397 CONNELLSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEMONT FURNACE
Mailing Address - State:PA
Mailing Address - Zip Code:15456-1319
Mailing Address - Country:US
Mailing Address - Phone:724-438-7669
Mailing Address - Fax:724-434-5753
Practice Address - Street 1:100 PEASANT VILLAGE LN
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-4333
Practice Address - Country:US
Practice Address - Phone:724-929-6072
Practice Address - Fax:724-929-2812
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2011-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD044901E2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E52463Medicare UPIN