Asthana, Neil George Grant
Asthana, Neil George Grant is an individual health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Asthana, Neil George Grant can be contacted via phone (850) 863-7660.Contact Information
Primary practice address
1000 Mar Walt Dr
Fort Walton Beach FL 32547-6708
Phone: (850) 863-7660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME1033096 | Florida |
Profile Details
| NPI number | 1669645651 |
|---|---|
| LBN Legal business name | Asthana, Neil George Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Apr 27th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669645651 | NPPES |
| Florida | MEDICAID | 001027500 |
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