Provider Demographics
NPI:1811576549
Name:KASHANCHI, ASHKAN JOSHUA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHKAN
Middle Name:JOSHUA
Last Name:KASHANCHI
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 1:3525 SAGE RD APT 1210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7025
Mailing Address - Country:US
Mailing Address - Phone:310-499-3919
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST FL 18
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:310-499-3919
Practice Address - Fax:336-228-4169
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program