Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 11250265-1205 | UT |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2014-01429 | NC |
NPI | 1881941557 |
---|---|
Provider Name | Aysha Amjad |
First Address | Salt Lake City, UT 84132-0002 |
Second Address | Winston Salem, NC 27157-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 31/07/2020 |