Provider Demographics
NPI:1245411925
Name:MUHAMAD E. AMHAN M.D./P.A.
Entity Type:Organization
Organization Name:MUHAMAD E. AMHAN M.D./P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMAD
Authorized Official - Middle Name:EMAD
Authorized Official - Last Name:AMHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-813-8270
Mailing Address - Street 1:2605 N MASTERS DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2508
Mailing Address - Country:US
Mailing Address - Phone:903-813-8270
Mailing Address - Fax:903-813-8470
Practice Address - Street 1:2605 N MASTERS DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2508
Practice Address - Country:US
Practice Address - Phone:903-813-8270
Practice Address - Fax:903-813-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00288690Medicare PIN
00W023Medicare PIN