Healthcare Provider Details
I. General information
NPI: 1831488170
Provider Name (Legal Business Name): ZAINAB ASHIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2011
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 MEDICAL PKWY
ANNAPOLIS MD
21401-3742
US
IV. Provider business mailing address
PO BOX 12622
BELFAST ME
04915-4017
US
V. Phone/Fax
- Phone: 443-481-1750
- Fax: 443-481-6515
- Phone: 443-481-6569
- Fax: 443-481-6515
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | C1-0011072 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA09584900 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD453527 |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | D82961 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: