Agam Enterprises, LLC
Organization Active NPI Diagnostic Radiology Physician · Terre Haute, IN
NPI 1386818508 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1386818508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 01056877A (IN)
- Legal business name
- AGAM ENTERPRISES, LLC
- Practice address
- 938 Springdale LN
Terre Haute, IN 47802-4586 - Phone
- (812) 234-8261
- Fax
- (812) 234-8262
- NPI assigned
- Apr 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Ayman Ghoniem, MD
- Title
- Owner
- Phone
- (812) 234-8261
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Agam Enterprises
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | 01056877A | IN | Yes |
Addresses
Primary practice location
938 Springdale LN
Terre Haute, IN 47802-4586
Mailing address
PO Box 2064
Indianapolis, IN 46206-2064
Phone (812) 234-8261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200882990A | Medicaid | IN |
Other providers in Terre Haute, IN
- Affordable Dentures -Terre Haute,P.C.
- Affordable Dentures & Implants - Terre Haute, P.C.
- Affordable Digital Hearing
- Agam Enterprises
- Agam Enterprises, LLC
- Francesca Agresta
- Briana Aguilar
- Fauzia Mosarrat Ahmed
- Zayd Ahmed
- Nicole Alexa Ahrens
All providers in Terre Haute, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.