Provider Demographics
NPI:1649581778
Name:AAMIR, FARYAAL (MD)
Entity Type:Individual
Prefix:
First Name:FARYAAL
Middle Name:
Last Name:AAMIR
Suffix:
Gender:F
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:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1510
Mailing Address - Country:US
Mailing Address - Phone:812-450-6815
Mailing Address - Fax:812-450-6822
Practice Address - Street 1:3150 WARRICK DR
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-8602
Practice Address - Country:US
Practice Address - Phone:812-858-3355
Practice Address - Fax:812-858-3350
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY45471207Q00000X
IN01086578A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP01162916OtherRAILROAD MEDICARE
KY7100177650Medicaid
KY836272OtherBCBS KENTUCKY
KYK012880Medicare PIN
KY7100177650Medicaid
KYK012882Medicare PIN