Provider Demographics
NPI:1093781353
Name:AHMAD, ASMA AFTAB (MD)
Entity Type:Individual
Prefix:DR
First Name:ASMA
Middle Name:AFTAB
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14030 TELGE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6200
Mailing Address - Country:US
Mailing Address - Phone:832-220-5101
Mailing Address - Fax:281-758-2710
Practice Address - Street 1:14030 TELGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6200
Practice Address - Country:US
Practice Address - Phone:832-220-5101
Practice Address - Fax:281-758-2710
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5217207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1921058-02Medicaid
TXI04777Medicare UPIN
TX8L9748Medicare PIN