Healthcare Provider Details

I. General information

NPI: 1962315895
Provider Name (Legal Business Name): DR. ASMA SALEH JOUDAT SALEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 W 14 MILE RD
CLAWSON MI
48017-1499
US

IV. Provider business mailing address

5353 WEDDELL ST 5353 WEDDEL ST
DEARBORN HEIGHTS MI
48125-3038
US

V. Phone/Fax

Practice location:
  • Phone: 248-435-7314
  • Fax:
Mailing address:
  • Phone: 313-329-9742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302419236
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: