Provider Demographics
NPI:1124064779
Name:SYAL, ASHU (MD)
Entity type:Individual
Prefix:
First Name:ASHU
Middle Name:
Last Name:SYAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHU
Other - Middle Name:
Other - Last Name:SODHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4002 BURKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3451
Mailing Address - Country:US
Mailing Address - Phone:281-741-2982
Mailing Address - Fax:409-200-2628
Practice Address - Street 1:4002 BURKE RD STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3451
Practice Address - Country:US
Practice Address - Phone:281-741-2982
Practice Address - Fax:409-200-2628
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5532172V00000X, 208000000X
MI4301079073208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1184048449OtherNPI
TX193755901Medicaid
TX1326464967OtherNPI