Provider Demographics
NPI:1265414155
Name:HOSNY, AYMAN A (MD)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:A
Last Name:HOSNY
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 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:STE 101
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2280
Practice Address - Country:US
Practice Address - Phone:925-685-7598
Practice Address - Fax:925-685-0752
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40878207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A408780Medicaid
CA00A408780Medicare ID - Type Unspecified
CA00A408780Medicaid