Provider Demographics
NPI:1033170162
Name:PACHA, AHMAD R (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:R
Last Name:PACHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17030 NANES DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2503
Mailing Address - Country:US
Mailing Address - Phone:281-893-5665
Mailing Address - Fax:281-893-0431
Practice Address - Street 1:17030 NANES DR
Practice Address - Street 2:SUITE 207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2503
Practice Address - Country:US
Practice Address - Phone:281-893-5665
Practice Address - Fax:281-893-0431
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF1178207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034710601Medicaid
TX034710601Medicaid
TXC20115Medicare UPIN