Healthcare Provider Details

I. General information

NPI: 1346163565
Provider Name (Legal Business Name): ASAD A DIRIE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W WASHINGTON AVE STE 301
MADISON WI
53703-3007
US

IV. Provider business mailing address

345 W WASHINGTON AVE STE 301
MADISON WI
53703-3007
US

V. Phone/Fax

Practice location:
  • Phone: 353-201-3757
  • Fax:
Mailing address:
  • Phone: 353-201-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: