Provider Demographics
NPI:1376741330
Name:HEREKAR, AAMR ARIF (MD)
Entity Type:Individual
Prefix:DR
First Name:AAMR
Middle Name:ARIF
Last Name:HEREKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7216 BRAYS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3106
Mailing Address - Country:US
Mailing Address - Phone:505-903-1715
Mailing Address - Fax:
Practice Address - Street 1:7100 WESTWIND DR STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1743
Practice Address - Country:US
Practice Address - Phone:915-300-0054
Practice Address - Fax:855-888-3172
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS20070418207R00000X
NMMD2011-00692084N0400X
TXQ70552084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01255807OtherRR MEDICARE
TX3819062-04Medicaid
KS201074490AMedicaid
OK200486680AOtherOK MEDICAID