VICTOR OSAGIE AGHATISE PA NPI 1184852469

NPI Information

NPI: 1184852469
Provider Name: VICTOR OSAGIE AGHATISE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
17567 IMPERIAL VALLEY DR
HOUSTON, TX
ZIP 77060
Phone: (281) 877-0187
Get Directions

Victor Osagie Aghatise, PA is a medical physician assistant in Houston, TX. Victor Osagie Aghatise, PA NPI is 1184852469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17567 IMPERIAL VALLEY DR
HOUSTON, TX
ZIP 77060-102
Phone: (281) 877-0187
Fax: (281) 877-0189

The NPI 1184852469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA06283	TEXAS	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8L16150	MEDICARE PIN	TEXAS
2	8L16151	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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