Provider Demographics
NPI:1780876466
Name:AGHA, AAMER (MD)
Entity type:Individual
Prefix:DR
First Name:AAMER
Middle Name:
Last Name:AGHA
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 1:6130 W PARKER RD STE 516
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8033
Mailing Address - Country:US
Mailing Address - Phone:972-820-9494
Mailing Address - Fax:
Practice Address - Street 1:6130 W PARKER RD STE 516
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8033
Practice Address - Country:US
Practice Address - Phone:972-820-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6753207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194464701Medicaid
TX194464702Medicaid
TX194464702Medicaid
TX8K8406Medicare PIN