Provider Demographics
NPI:1912158387
Name:MUSHTAQ, ALIYA NAAZ (MD)
Entity type:Individual
Prefix:DR
First Name:ALIYA
Middle Name:NAAZ
Last Name:MUSHTAQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13300 HARGRAVE RD STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4562
Mailing Address - Country:US
Mailing Address - Phone:281-737-0950
Mailing Address - Fax:281-737-0968
Practice Address - Street 1:13300 HARGRAVE RD STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4562
Practice Address - Country:US
Practice Address - Phone:281-737-0950
Practice Address - Fax:281-737-0968
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXTMB PIT # BP10029038390200000X
TXP8954207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program