Organization
ANJANA RASTOGI MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJANA RASTOGI M.D. (PRESIDENT)
(432) 570-0052
Entity
Organization
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
174400000X
Specialist
Primary
K8446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018PW
BCBS
TX
Enumeration date
08/16/2006
Last updated
01/03/2008
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