Healthcare Provider Details

I. General information

NPI: 1376731117
Provider Name (Legal Business Name): ASHFAQUE SAYA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 N WALDRIP ST
GRAND SALINE TX
75140-1555
US

IV. Provider business mailing address

735 N WALDRIP ST
GRAND SALINE TX
75140-1555
US

V. Phone/Fax

Practice location:
  • Phone: 903-962-4500
  • Fax: 903-962-4588
Mailing address:
  • Phone: 903-962-4500
  • Fax: 903-962-4588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM 5914
License Number StateTX

VIII. Authorized Official

Name: DR. ASHFAQUE SAYA
Title or Position: PHYSICIAN/OFFICER
Credential: M.D.
Phone: 903-962-4500