Individual
AMALIA RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(214) 773-4384
Mailing address
900 8TH AVENUE, APT 1801, FORT WORTH, TX 76104-5724
(214) 773-4384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10055439
TX
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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