Individual ProviderTalha AijazInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1515 Holcombe Blvd, Houston, TX 77030(713) 792-6161(713) 792-2991PECOS EnrollmentBased on the most recent information from CMS, provider Talha Aijaz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1225567233Provider TypeIndividualFull NameAijaz, TalhaCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/5/2017Last Updated7/11/2024Contact InformationPractice LocationPractice Address1515 Holcombe Blvd, Houston, TX 77030Phone(713) 792-6161FaxUnlisted FaxMailing LocationMailing AddressPO Box 4439, Houston, TX 77210-4439Phone(713) 792-2991FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseU2425TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125070076IllinoisCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense53977KentuckyProvider IdentifiersIDDescriptionIssuerID7100687900DescriptionMedicaidIssuerUnlistedKentucky