Provider Demographics
NPI:1013986843
Name:ASKARI, SASAN (MD)
Entity Type:Individual
Prefix:MR
First Name:SASAN
Middle Name:
Last Name:ASKARI
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 1:4007 JAMES CASEY ST
Mailing Address - Street 2:SUITE A-250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3369
Mailing Address - Country:US
Mailing Address - Phone:512-444-2111
Mailing Address - Fax:512-444-2114
Practice Address - Street 1:4007 JAMES CASEY ST
Practice Address - Street 2:SUITE A-250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3369
Practice Address - Country:US
Practice Address - Phone:512-444-2111
Practice Address - Fax:512-444-2114
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9492207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128807807Medicaid
TX00T13FOtherBCBS ID
TX128807807Medicaid
TX8B3123Medicare Oscar/Certification