Healthcare Provider Details

I. General information

NPI: 1568730596
Provider Name (Legal Business Name): DR. MAAN ASKAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2011
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26000 HOOVER RD STE 102
WARREN MI
48089-1167
US

IV. Provider business mailing address

38377 MOUNT KISCO DR
STERLING HEIGHTS MI
48310-3426
US

V. Phone/Fax

Practice location:
  • Phone: 586-427-1351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704240796
License Number StateMI

VIII. Authorized Official

Name: DR. MAAN ASKAR
Title or Position: OWNER
Credential: MD
Phone: 586-427-1351