Healthcare Provider Details

I. General information

NPI: 1174258560
Provider Name (Legal Business Name): ASHER MADAN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 07/22/2022
Certification Date: 07/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19.5 KM FEROZPUR ROAD BEHIND GSK PAKISTAN
LAHORE PUNJAB
54700
PK

IV. Provider business mailing address

2908 PEYTON RANDOLPH DR APT 101
FALLS CHURCH VA
22044-2815
US

V. Phone/Fax

Practice location:
  • Phone: 202-905-4742
  • Fax:
Mailing address:
  • Phone: 202-905-4742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: