| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALIA HABIB MADANI | 1912639329 | 2022-06-26 |
Alia Habib Madani is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912639329. Registration indicates Alia Habib Madani is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Alia Habib Madani PA |
| Practice Office Address | 3028 COMMUNICATIONS PKWY PLANO, TX US |
| Practice Office Telephone | 9566657049 |
| Mailing Address | 4281 CRESTFIELD DR RICHARDSON, TX 750825301 US |
| Business Telephone | 2147091992 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA16684
TX |