Provider Demographics
NPI:1043706955
Name:NAUREEN I. AGHA, M.D. PLLC
Entity type:Organization
Organization Name:NAUREEN I. AGHA, M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NAUREEN
Authorized Official - Middle Name:IMTIAZ
Authorized Official - Last Name:AGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-312-9169
Mailing Address - Street 1:3908 WOOD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7580
Mailing Address - Country:US
Mailing Address - Phone:972-800-1380
Mailing Address - Fax:972-820-7772
Practice Address - Street 1:6130 W PARKER RD STE 406
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7969
Practice Address - Country:US
Practice Address - Phone:972-312-9169
Practice Address - Fax:972-312-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty