MEDICARE: DR. ALIYA NAAZ MUSHTAQ 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	390200000X	Student in an Organized Health Care Education/Training Program	TMB PIT # BP10029038	TX
2	207RI0011X	Interventional Cardiology Physician	P8954	TX

General Provider Information

NPI Number	:	1912158387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALIYA NAAZ MUSHTAQ M.D

Provider Business Mailing Address
First Line	:	13300 HARGRAVE RD STE 410
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4562
Country	:	US
Telephone Number	:	281-737-0950
Fax Number	:	281-737-0968

Provider Business Practice Location Address
First Line	:	13300 HARGRAVE RD STE 410
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4562
Country	:	US
Telephone Number	:	281-737-0950
Fax Number	:	281-737-0968

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

Provider Enumeration Date	:	10/03/2008
Last Update Date	:	03/29/2023

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