Provider Demographics
| NPI: | 1326074816 |
|---|---|
| Name: | AASHA SURGICAL, P.A. |
| Entity type: | Organization |
| Organization Name: | AASHA SURGICAL, P.A. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | AMIE |
| Authorized Official - Middle Name: | CHRISTINA |
| Authorized Official - Last Name: | JEW |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 913-469-0550 |
| Mailing Address - Street 1: | 5701 W 119TH ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | OVERLAND PARK |
| Mailing Address - State: | KS |
| Mailing Address - Zip Code: | 66209-3722 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 913-469-0550 |
| Mailing Address - Fax: | 913-469-5088 |
| Practice Address - Street 1: | 5701 W 119TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | OVERLAND PARK |
| Practice Address - State: | KS |
| Practice Address - Zip Code: | 66209-3722 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 913-469-0550 |
| Practice Address - Fax: | 913-469-5088 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-06-25 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| KS | 3946324 | 208600000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Single Specialty |