Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | H9492 | TX |
NPI | 1013986843 |
---|---|
Provider Name | Mr. Sasan Askari |
First Address | Austin, TX 78745-3369 |
Second Address | Austin, TX 78745-3369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 01/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00T13F | BCBS ID (01) | TX |
128807807 | (05) | TX |
G08732 | (02) |