Individual
DR. ARCHANA RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5107 MOORES MILL RD, HUNTSVILLE, AL 35811-1007
(256) 851-7190
(256) 851-7189
Mailing address
7583 WALL TRIANA HWY, MADISON, AL 35757-8327
(256) 830-5777
(256) 546-2981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00021023
AL
207R00000X
Internal Medicine Physician
00021023
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942017
—
AL
01
—
051558657
MEDICARE
AL
01
—
51005125
BLUE CROSS BLUE SHIELD
AL
01
—
51005127
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/18/2005
Last updated
03/23/2015
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