Naureen I. Agha, M.D. PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NAUREEN I. AGHA, M.D. PLLC

Practice address

6130 W Parker Rd Ste 406
Plano, TX 75093-7969

Phone

(972) 312-9169

Fax

(972) 312-9178

NPI assigned

Jul 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Naureen Imtiaz Agha, MDNPI 1366527855

Title

Physician Chief Medical Officer

Phone

(972) 312-9169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naureen Imtiaz Agha, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1366527855
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1043706955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 WOOD LAKE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937580",
            "telephone_number": "972-800-1380",
            "fax_number": "972-820-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937969",
            "telephone_number": "972-312-9169",
            "fax_number": "972-312-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUREEN I. AGHA, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "NAUREEN",
        "authorized_official_middle_name": "IMTIAZ",
        "authorized_official_title_or_position": "PHYSICIAN CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "972-312-9169",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.