Provider Demographics
NPI:1720260268
Name:ASLAM, RAKSHANDA (MD)
Entity Type:Individual
Prefix:
First Name:RAKSHANDA
Middle Name:
Last Name:ASLAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-363-8055
Mailing Address - Fax:713-790-1060
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-363-8055
Practice Address - Fax:713-790-1060
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0615207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FT334OtherBCBS
TX8EJ859OtherBCBS
TX198001303Medicaid
TX198001302Medicaid
TX368835YMVQMedicare PIN
TX368835ZSWDMedicare PIN
TX8EJ859OtherBCBS