Provider Demographics
NPI:1154409266
Name:AGHA, BILAL MOHAMMED (MD)
Entity type:Individual
Prefix:DR
First Name:BILAL
Middle Name:MOHAMMED
Last Name:AGHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:103 PARKWAY OFFICE CT STE 202
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7429
Mailing Address - Country:US
Mailing Address - Phone:919-233-3570
Mailing Address - Fax:919-233-3571
Practice Address - Street 1:103 PARKWAY OFFICE CT STE 202
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7429
Practice Address - Country:US
Practice Address - Phone:919-233-3570
Practice Address - Fax:919-233-3571
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9600436207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89129ENMedicaid
NCH36844Medicare UPIN
NC2286204AMedicare PIN