Provider Demographics
NPI:1992758155
Name:ASGAONKAR, ANIL V (MD)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:V
Last Name:ASGAONKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1505 LBJ FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6065
Mailing Address - Country:US
Mailing Address - Phone:214-358-2300
Mailing Address - Fax:214-579-6941
Practice Address - Street 1:3400 CORINTH PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208-1311
Practice Address - Country:US
Practice Address - Phone:940-312-7356
Practice Address - Fax:940-312-7357
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2024-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN5539207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB104964Medicare PIN
KYI52322Medicare UPIN