Healthcare Provider Details

I. General information

NPI: 1649411398
Provider Name (Legal Business Name): AYESHA ASLAM AMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AYESHA ASLAM KHAN MD

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6517 W. PLANO PARKWAY SUITE A
PLANO TX
75093
US

IV. Provider business mailing address

6517 W. PLANO PARKWAY SUITE A
PLANO TX
75093
US

V. Phone/Fax

Practice location:
  • Phone: 214-396-0500
  • Fax: 469-424-2785
Mailing address:
  • Phone: 214-396-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number19-102833
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number430188715
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN4904
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: