Provider Demographics
NPI:1669800835
Name:NUZHA A AMJAD MD PA
Entity type:Organization
Organization Name:NUZHA A AMJAD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NUZHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AMJAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-932-6333
Mailing Address - Street 1:1201 DAIRY ASHFORD RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3023
Mailing Address - Country:US
Mailing Address - Phone:713-932-6333
Mailing Address - Fax:713-482-4525
Practice Address - Street 1:1201 DAIRY ASHFORD RD
Practice Address - Street 2:SUITE 118
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3023
Practice Address - Country:US
Practice Address - Phone:713-932-6333
Practice Address - Fax:713-482-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty