Individual
ANJANA RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
316 SECOR ST, MIDLAND, TX 79701-6343
(432) 570-0052
(432) 570-0053
Mailing address
8 SAN CLEMENTE CIR, ODESSA, TX 79765-8524
(432) 570-0052
(432) 570-0053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K8446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046756502
—
TX
01
—
110244676
RAILROAD MEDICARE
TX
01
—
8AJ047
BCBS
TX
Enumeration date
04/11/2007
Last updated
01/03/2008
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