MEDICARE: AISHA AMJAD M.D

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	208M00000X	Hospitalist Physician	P5924	TX

General Provider Information

NPI Number	:	1164739157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA AMJAD M.D

Provider Business Mailing Address
First Line	:	12247 RIDGEFAIR PL
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-7805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12247 RIDGEFAIR PL
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-7805
Country	:	US
Telephone Number	:	682-622-2000
Fax Number	:

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

Provider Enumeration Date	:	09/12/2010
Last Update Date	:	06/14/2016

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