Look up the most recent NPI and PECOS records

Naureen Imtiaz Agha

Internal Medicine

Allopathic & Osteopathic Physicians

6130 W Parker Rd, Ste 512, Plano, TX 75093-8031

PECOS Enrollment

This provider is enrolled in PECOS as NAUREEN AGHA.

Based on the most recent information from CMS, provider Naureen Imtiaz Agha is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1366527855
Provider Type
Individual
Full Name
Agha, Naureen Imtiaz
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
10/25/2006
Last Updated
2/25/2019

Contact Information

Practice Location

6130 W Parker Rd, Ste 512, Plano, TX 75093-8031

(972) 312-9169

(972) 312-9178

Mailing Location

3908 Wood Lake Dr, Plano, TX 75093-7580

(972) 800-1380

(972) 312-9178

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License M9777 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD.27677 Alabama

Provider Identifiers

ID	Description	Issuer
ID 207681201	Description Medicaid	Issuer Unlisted Texas
ID 207681202	Description Medicaid	Issuer Unlisted Texas
ID 207681203	Description Medicaid	Issuer Unlisted Texas

Naureen Imtiaz Agha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Noorudeen, Shafeeq

Bankhead, Jack Bridges

Streck, Robert Harding

Shah, Neepa Rajnikant

Wunderlich Padilla, Pablo Andres

Texas Heart Hospital Of The Southwest Llp

Dallas Medical Physician Group

Samsula, Aaron Lee

Chapman, James B

North Texas Vario Health Center, Pllc