MEDICARE: ASIF MUNIR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	4301057000	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184695330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIF MUNIR M.D.

Provider Business Mailing Address
First Line	:	15100 MERCANTILE DR
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1223
Country	:	US
Telephone Number	:	734-266-2780
Fax Number	:	734-466-9615

Provider Business Practice Location Address
First Line	:	15100 MERCANTILE DR
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1223
Country	:	US
Telephone Number	:	734-266-2780
Fax Number	:	734-466-9615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/17/2011

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