MEDICARE: ASMA MURSLEEN M.D.

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RC0000X	Cardiovascular Disease Physician	65472	AZ

General Provider Information

NPI Number	:	1396111712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASMA MURSLEEN M.D.

Provider Business Mailing Address
First Line	:	1960 W FRYE RD STE 5
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6238
Country	:	US
Telephone Number	:	480-917-5900
Fax Number	:	520-836-6663

Provider Business Practice Location Address
First Line	:	1960 W FRYE RD STE 5
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6238
Country	:	US
Telephone Number	:	809-175-5900
Fax Number	:	520-836-6663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	03/21/2022

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