Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 6791 | TX |
N | 111NI0900X | Internist | 6791 | TX |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | T2313 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | T2313 | TX |
Y | 207RI0011X | Interventional Cardiology | T2313 | TX |
NPI | 1811230238 |
---|---|
Provider Name | Mohammed Imran Aslam |
First Address | San Antonio, TX 78229-4402 |
Second Address | San Antonio, TX 78229-4402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 21/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
428525601 | (05) | TX |
428525602 | CSHCN (01) | TX |