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NPI Code Detail

MEDICARE: ASMA SUFIAN

MEDICARE:   ASMA  SUFIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1063361814
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASMA SUFIAN
Provider Business Mailing Address
First Line : 7020 STEADMAN ST # AT
Second Line :
City : DEARBORN
State : MI
Zip : 48126-1757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7020 STEADMAN ST # AT
Second Line :
City : DEARBORN
State : MI
Zip : 48126-1757
Country : US
Telephone Number : 313-530-7091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ ASMA SUFIAN ” Practice Location

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