Aftab Memon MD S Co

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036134604 Issued in IL

Legal business name

AFTAB MEMON MD S CO

Practice address

4938 W 95TH St
Oak Lawn, IL 60453-2504

Phone

(708) 425-4662

Fax

(708) 425-4692

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Aftab Memon, M.D.NPI 1942221882

Title

Owner

Phone

(708) 425-4662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aftab A Memon, MD

  • Internal Medicine Physician
  • Auburn, WA
  • NPI 1942221882

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1912375262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-425-4662",
            "fax_number": "708-425-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-425-4662",
            "fax_number": "708-425-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTAB MEMON MD S CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "AFTAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-425-4662",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036134604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mehr Nida Aftab, MD
• Amit Agarwal, MD
• Anjali Neil Agarwal
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• Hussien Ahmad, DMD

• Internal Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.