Provider Demographics
NPI:1124027032
Name:HAJI, ASHA KARIM (MD)
Entity type:Individual
Prefix:DR
First Name:ASHA
Middle Name:KARIM
Last Name:HAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-1406
Mailing Address - Country:US
Mailing Address - Phone:979-779-4756
Mailing Address - Fax:979-823-3018
Practice Address - Street 1:1703 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-1406
Practice Address - Country:US
Practice Address - Phone:979-779-4756
Practice Address - Fax:979-823-3018
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2012-10-31
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
TXE2220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C16442Medicare UPIN
TXTXB160827Medicare PIN