Provider Demographics
NPI:1235140153
Name:HAJI, AMINA KARIM (MD)
Entity type:Individual
Prefix:DR
First Name:AMINA
Middle Name:KARIM
Last Name:HAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-4843
Mailing Address - Country:US
Mailing Address - Phone:512-324-4930
Mailing Address - Fax:512-324-2929
Practice Address - Street 1:2811 E 2ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-4843
Practice Address - Country:US
Practice Address - Phone:512-324-4930
Practice Address - Fax:512-324-2929
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9225207Q00000X
IA39862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D0333Medicare PIN
TXI23490Medicare UPIN