Provider Demographics
NPI:1265323778
Name:AD ASTRA HEALTH LLC
Entity type:Organization
Organization Name:AD ASTRA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-232-2745
Mailing Address - Street 1:100 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1713
Mailing Address - Country:US
Mailing Address - Phone:913-232-2745
Mailing Address - Fax:816-326-9027
Practice Address - Street 1:100 W 9TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-1713
Practice Address - Country:US
Practice Address - Phone:913-232-2745
Practice Address - Fax:816-326-9027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-12
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care