Individual
DR. ASHUTOSH RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N N ST, MIDLAND, TX 79701-6404
(432) 685-1559
(432) 683-6973
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
K8447
TX
207RX0202X
Medical Oncology Physician
Primary
K8447
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103714502
—
TX
05
—
103714504
—
TX
01
—
8R1529
BLUE CROSS OF TEXAS
TX
Enumeration date
06/03/2006
Last updated
08/02/2017
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