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 |