Individual provider Active NPI

Asha Karim Haji, M.D.

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1124027032
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2220 Issued in TX
Practice address
1703 E 29TH St
Bryan, TX 77802-1406
Phone
(979) 779-4756
Fax
(979) 823-3018
NPI assigned
Jul 21, 2005
Reactivated
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2220 TX Primary

Addresses

Primary practice location

1703 E 29TH St
Bryan, TX 77802-1406

Mailing address

1703 E 29TH St
Bryan, TX 77802-1406
Phone (979) 779-4756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
B-CS Family Medicine Clinic P a PastSince Dec 1, 2006 Accepting new patients
St Joseph Physician Associates Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1124027032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-779-4756",
            "fax_number": "979-823-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-779-4756",
            "fax_number": "979-823-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI",
        "first_name": "ASHA",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-10-31",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.