Provider Demographics
NPI:1659483287
Name:ASHAM, EMAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:EMAD
Middle Name:H
Last Name:ASHAM
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: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:832-403-2582
Practice Address - Street 1:1015 W MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 1300
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4052
Practice Address - Country:US
Practice Address - Phone:832-964-4001
Practice Address - Fax:832-403-2582
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94629208600000X, 204F00000X
TXN1536208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659483287OtherNPI
TX198049203Medicaid
CA00A946290Medicaid
CAWA94629AMedicare ID - Type Unspecified
CAI63723Medicare UPIN
TX198049203Medicaid