Provider Demographics
NPI:1588793822
Name:KHUSHALANI, ASHOK I (MD)
Entity type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:I
Last Name:KHUSHALANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S AVENUE C
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4523
Mailing Address - Country:US
Mailing Address - Phone:281-446-9216
Mailing Address - Fax:281-852-2556
Practice Address - Street 1:210 S AVENUE C
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4523
Practice Address - Country:US
Practice Address - Phone:281-446-9216
Practice Address - Fax:281-852-2556
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF59772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23921Medicare UPIN