Provider Demographics
NPI:1982369310
Name:MUHAMMAD S AJMAL MD PLLC
Entity Type:Organization
Organization Name:MUHAMMAD S AJMAL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:AJMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-335-1847
Mailing Address - Street 1:635 CHARLESTON HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3484
Mailing Address - Country:US
Mailing Address - Phone:716-335-1847
Mailing Address - Fax:716-214-3105
Practice Address - Street 1:17510 W GRAND PKWY S STE 460
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2173
Practice Address - Country:US
Practice Address - Phone:716-335-1847
Practice Address - Fax:716-214-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP6763OtherTEXAS MEDICAL BOARD