Provider Demographics
NPI:1952354938
Name:AMHAN, MUHAMAD EMAD (MD/PA)
Entity Type:Individual
Prefix:MR
First Name:MUHAMAD
Middle Name:EMAD
Last Name:AMHAN
Suffix:
Gender:M
Credentials:MD/PA
Other - Prefix:MR
Other - First Name:MUHAMAD
Other - Middle Name:EMAD
Other - Last Name:AMHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD/PA
Mailing Address - Street 1:2705 N MASTERS DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-813-8270
Mailing Address - Fax:903-813-8470
Practice Address - Street 1:2605 N MASTERS DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2508
Practice Address - Country:US
Practice Address - Phone:903-813-8270
Practice Address - Fax:903-813-8470
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6527207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0074MPOtherBCBS PROVIDER #
TXP00288690Medicare PIN
TX8F2102Medicare PIN