Organization Active NPI

Abdul S. Agha, M.D., PA

  • Specialist
  • Miami, FL
National Provider Identifier
1538444344
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0016704 Issued in FL
Legal business name
ABDUL S. AGHA, M.D., PA
Practice address
6701 Sunset Drive
Suite 103
Miami, FL 33143-4529
Phone
(305) 661-2041
Fax
(305) 663-1015
NPI assigned
Oct 13, 2011
Organization subpart
Yes
Parent organization
ABDUL S. AGHA , M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Abdul S. Agha, M.D.
Title
President
Phone
(305) 661-2041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0016704 FL Primary

Addresses

Primary practice location

6701 Sunset Drive
Suite 103
Miami, FL 33143-4529

Mailing address

6701 Sunset Drive
Suite 103
Miami, FL 33143-4529
Phone (305) 661-2041

Other identifiers 1

IdentifierTypeStateIssuer
035602600MedicaidFL

National Provider Directory

National Provider Directory
Part of
Reza Azar MD

Locations

6701 Sunset Dr
Ste 103
South Miami, FL 33143
Phone (305) 661-2041

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1538444344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DRIVE",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-661-2041",
            "fax_number": "305-663-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DRIVE",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-661-2041",
            "fax_number": "305-663-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL S. AGHA, M.D., PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABDUL S. AGHA , M.D.",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-661-2041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0016704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035602600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.