MEDICARE: ASHFAQUE G SAYA MD

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	207P00000X	Emergency Medicine Physician	25872	AZ
2	207R00000X	Internal Medicine Physician	M5914	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3981220	OTHER	AZ	EVERCARE
2	AZ0728670	OTHER	AZ	BLUE CROSS/BLUE SHIELD
3	AW1436	OTHER	AZ	HEALTHNET
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598747503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHFAQUE G SAYA MD

Provider Business Mailing Address
First Line	:	735 N WALDRIP ST
Second Line	:
City	:	GRAND SALINE
State	:	TX
Zip	:	75140
Country	:	US
Telephone Number	:	903-962-4500
Fax Number	:	903-962-4588

Provider Business Practice Location Address
First Line	:	735 N WALDRIP ST
Second Line	:
City	:	GRAND SALINE
State	:	TX
Zip	:	75140
Country	:	US
Telephone Number	:	903-962-4500
Fax Number	:	903-962-4588

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	11/21/2007

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Directions to “ ASHFAQUE G SAYA MD” Practice Location

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