Angel Avashti Budhram, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0006413 Issued in CO

Practice address

425 University Blvd
Round Rock, TX 78665-1053

Phone

(512) 509-0285

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Angel Avashti Prasad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1295989994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 IRON HORSE DR",
            "address_2": "STE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019617",
            "telephone_number": "720-494-4700",
            "fax_number": "720-494-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651053",
            "telephone_number": "512-509-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDHRAM",
        "first_name": "ANGEL",
        "middle_name": "AVASHTI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "PRASAD",
            "middle_name": "AVASHTI",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anastasia Buchanan
• Terry Buchanan, NP-C
• Una Buck, OT
• Devrah Buckles, BCBA
• Ryan Alexander Buda, DDS
• Marjorie Buencamino, NP
• Delesha Buford
• Marie Bui, M.D.
• My-Huong Elsa Bui, PT, MPT
• Toai Phuoc Bui, DO

• Physician Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.