Provider Demographics
NPI:1619429792
Name:EMAD H. ASHAM, M.D., P.A.
Entity Type:Organization
Organization Name:EMAD H. ASHAM, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:HAKEEM
Authorized Official - Last Name:ASHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-964-4001
Mailing Address - Street 1:PO BOX 300425
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-0425
Mailing Address - Country:US
Mailing Address - Phone:832-964-4001
Mailing Address - Fax:832-831-2463
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1810
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:832-964-4001
Practice Address - Fax:832-831-2463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1536261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198049203Medicaid
TX198049203Medicaid