Provider Demographics
NPI:1356388250
Name:MUNIR, AMAN U (MD)
Entity type:Individual
Prefix:DR
First Name:AMAN
Middle Name:U
Last Name:MUNIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:785 OHIO AVE STE 2H
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-6216
Mailing Address - Country:US
Mailing Address - Phone:662-627-3003
Mailing Address - Fax:662-627-3014
Practice Address - Street 1:785 OHIO AVE
Practice Address - Street 2:STE 2H
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-6217
Practice Address - Country:US
Practice Address - Phone:662-627-3003
Practice Address - Fax:662-627-3095
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18659207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04583764Medicaid
I40297Medicare UPIN
MS290000146Medicare ID - Type Unspecified