Organization Active NPI

Agam Enterprises

  • Diagnostic Radiology Physician
  • Terre Haute, IN
National Provider Identifier
1083898993
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01056877A Issued in IN
Legal business name
AGAM ENTERPRISES
Practice address
2723 S 7TH St
Terre Haute, IN 47802-3584
Phone
(812) 237-1625
Fax
(812) 234-8262
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Ayman Ghoniem, MD
Title
Owner
Phone
(812) 320-7229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 01056877A IN Primary

Addresses

Primary practice location

2723 S 7TH St
Terre Haute, IN 47802-3584

Mailing address

PO Box 2064
Indianapolis, IN 46206-2064
Phone (812) 234-8261

National Provider Directory

National Provider Directory
Tax ID family
Agam Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2723 S 7th St
Terre Haute, IN 47802
Phone (812) 232-1418

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1083898993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2064",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062064",
            "telephone_number": "812-234-8261",
            "fax_number": "812-234-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023584",
            "telephone_number": "812-237-1625",
            "fax_number": "812-234-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAM ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "GHONIEM",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-320-7229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01056877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.