Provider Demographics
NPI:1740378801
Name:AGHA, TASNEEM K (MD)
Entity Type:Individual
Prefix:MS
First Name:TASNEEM
Middle Name:K
Last Name:AGHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2509 SCRIPTURE ST
Mailing Address - Street 2:101
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2324
Mailing Address - Country:US
Mailing Address - Phone:940-483-9888
Mailing Address - Fax:940-483-1888
Practice Address - Street 1:2509 SCRIPTURE
Practice Address - Street 2:SUITE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-483-9888
Practice Address - Fax:940-483-1888
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4347207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0309700-01Medicaid
TX8A4960OtherBCBS
TX181517800OtherDEPT OF LABOR
G33056Medicare UPIN
TX181517800OtherDEPT OF LABOR