Healthcare Provider Details

I. General information

NPI: 1376741330
Provider Name (Legal Business Name): AAMR ARIF HEREKAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 WESTWIND DR STE 300
EL PASO TX
79912-1743
US

IV. Provider business mailing address

7216 BRAYS LANDING DR
EL PASO TX
79911-3106
US

V. Phone/Fax

Practice location:
  • Phone: 915-300-0054
  • Fax: 855-888-3172
Mailing address:
  • Phone: 505-903-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberRS20070418
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD2011-0069
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberQ7055
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberQ7055
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: