Healthcare Provider Details

I. General information

NPI: 1730728379
Provider Name (Legal Business Name): AISHA BARLAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24802 AUBURN TERRACE DR
SPRING TX
77389-2006
US

IV. Provider business mailing address

459 PINE WHITE RD UNIT 1
ROSCOE IL
61073-5667
US

V. Phone/Fax

Practice location:
  • Phone: 346-236-5679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301509784
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: