MEDICARE: AYESHA AFTAB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	71436	TX

General Provider Information

NPI Number	:	1427844133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYESHA AFTAB

Provider Business Mailing Address
First Line	:	2601 BELLEFONTAINE ST APT C310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1688
Country	:	US
Telephone Number	:	909-330-8622
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2805
Country	:	US
Telephone Number	:	909-330-8622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	04/17/2025

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Directions to “ AYESHA AFTAB ” Practice Location

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