Individual
DR. SHASHI P RASTOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001. 12TH AVE., 174, FORT WORTH, TX 76104-7438
(817) 348-0701
(817) 348-0702
Mailing address
1001 12TH AVE, 174, FORT WORTH, TX 76104-3926
(817) 348-0701
(817) 348-0702
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H7488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127426802
—
TX
Enumeration date
05/03/2006
Last updated
08/17/2011
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