Provider Demographics
NPI:1972719862
Name:AZAD, JASPAUL SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JASPAUL
Middle Name:SINGH
Last Name:AZAD
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 1:902 FROSTWOOD
Mailing Address - Street 2:SUITE # 168
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-973-2300
Mailing Address - Fax:713-973-2304
Practice Address - Street 1:902 FROSTWOOD
Practice Address - Street 2:SUITE # 168
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-973-2300
Practice Address - Fax:713-973-2304
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1011207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI 37627Medicare UPIN
TX8F0812Medicare ID - Type Unspecified