Provider Demographics
NPI:1194792945
Name:A.A.G.A. MEDICAL SERVICES INC.
Entity type:Organization
Organization Name:A.A.G.A. MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:HASEEF
Authorized Official - Last Name:BEHARRIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-587-0631
Mailing Address - Street 1:4330 W BROWARD BLVD
Mailing Address - Street 2:SUITE P
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3775
Mailing Address - Country:US
Mailing Address - Phone:954-587-0631
Mailing Address - Fax:954-587-0632
Practice Address - Street 1:4330 W BROWARD BLVD
Practice Address - Street 2:SUITE P
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3775
Practice Address - Country:US
Practice Address - Phone:954-587-0631
Practice Address - Fax:954-587-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric NephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252076100Medicaid