Provider Demographics
NPI:1598747503
Name:SAYA, ASHFAQUE G (MD)
Entity Type:Individual
Prefix:
First Name:ASHFAQUE
Middle Name:G
Last Name:SAYA
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 1:735 N WALDRIP ST
Mailing Address - Street 2:
Mailing Address - City:GRAND SALINE
Mailing Address - State:TX
Mailing Address - Zip Code:75140
Mailing Address - Country:US
Mailing Address - Phone:903-962-4500
Mailing Address - Fax:903-962-4588
Practice Address - Street 1:735 N WALDRIP ST
Practice Address - Street 2:
Practice Address - City:GRAND SALINE
Practice Address - State:TX
Practice Address - Zip Code:75140
Practice Address - Country:US
Practice Address - Phone:903-962-4500
Practice Address - Fax:903-962-4588
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25872207P00000X
TXM5914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3981220OtherEVERCARE
AZAZ0728670OtherBLUE CROSS/BLUE SHIELD
AZAW1436OtherHEALTHNET
AZ466195Medicaid
G22470Medicare UPIN
AZ75837Medicare ID - Type Unspecified