Basic Information
| Provider Information | |||||||||
| NPI: | 1649581778 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AAMIR | ||||||||
| FirstName: | FARYAAL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1510 | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477061510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124506815 | ||||||||
| FaxNumber: | 8124506822 | ||||||||
| Practice Location | |||||||||
| Address1: | 3150 WARRICK DR | ||||||||
| Address2: | |||||||||
| City: | BOONVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 476018602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8128583355 | ||||||||
| FaxNumber: | 8128583350 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2010 | ||||||||
| LastUpdateDate: | 02/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 45471 | KY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 01086578A | IN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | P01162916 | 01 | KY | RAILROAD MEDICARE | OTHER | 7100177650 | 05 | KY | MEDICAID | 836272 | 01 | KY | BCBS KENTUCKY | OTHER |