Provider Demographics
NPI:1871543082
Name:ASLAM, QAMAR SHAMIM (MD)
Entity type:Individual
Prefix:DR
First Name:QAMAR
Middle Name:SHAMIM
Last Name:ASLAM
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 1:4300 N JOSEY LN
Mailing Address - Street 2:STE 110
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4744
Mailing Address - Country:US
Mailing Address - Phone:214-483-3292
Mailing Address - Fax:214-483-3286
Practice Address - Street 1:4300 N JOSEY LN
Practice Address - Street 2:STE 110
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4744
Practice Address - Country:US
Practice Address - Phone:214-483-3292
Practice Address - Fax:214-483-3286
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17658208000000X
TXJ5136208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
159583701OtherGRP TPI
AL631500025Medicaid
TX180061701Medicaid
AL631500025Medicaid
159583701OtherGRP TPI