Active NPIIndividual provider

Ahmed K Agha, MD, PHARMD

Family Medicine in Phoenix, Arizona

NPI Number1063413524
Practice location
2000 W Bethany Home RD, Phoenix, AZ 85015-2443
Fax
—
Last updated
January 30, 2020

Ahmed K Agha is a Family Medicine based in Phoenix, AZ. Ahmed K Agha practices in Phoenix, AZ and has the professional credentials of MD, PHARMD. The NPI Number for Ahmed K Agha is 1063413524 and holds a License No. 58031 (AZ). The current practice location address for Ahmed K Agha is 2000 W Bethany Home RD, Phoenix, AZ 85015-2443 and can be reached out via phone at 602-246-5658.

Provider Profile Details

NPI Number
1063413524
Provider Name
Ahmed K Agha
Credential
MD, PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2000 W Bethany Home RD, Phoenix, AZ 85015-2443
Phone Number
602-246-5658
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2005
Last Update Date
January 30, 2020
Certification Date
January 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2000 W Bethany Home RD
Phoenix, AZ 85015-2443
State
Arizona
Zip
85015-2443
Phone Number
602-246-5658
Phoenix, AZ 85015Get directions →

Provider Business Mailing Address Details

Address
3124 Willow Creek RD
Prescott, AZ 86301-6610
City
Prescott
State
AZ
Zip
86301-6610
Phone Number
928-445-7085
Fax Number
928-445-7095

License Information

License Number (1)
58031
License State (1)
AZ
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
03-2-22901
License State (2)
OH
Taxonomy (2)
Pharmacist · 183500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ahmed K Agha, MD, PHARMD?

The NPI number of Ahmed K Agha, MD, PHARMD is 1063413524. It was assigned on August 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Ahmed K Agha, MD, PHARMD?

Ahmed K Agha, MD, PHARMD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in AZ under license number 58031.

Where does Ahmed K Agha, MD, PHARMD practice?

The practice location is 2000 W Bethany Home RD, Phoenix, AZ 85015-2443. The office can be reached at 602-246-5658 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063413524 directly on the NPPES registry website.

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