MEDICARE: ALIYA ASAD MD

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	208000000X	Pediatrics Physician	ME83289	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417947854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIYA ASAD MD

Provider Business Mailing Address
First Line	:	5100 W COPANS RD
Second Line	:	SUITE 800
City	:	MARGATE
State	:	FL
Zip	:	33063-7747
Country	:	US
Telephone Number	:	954-975-4611
Fax Number	:	954-975-4079

Provider Business Practice Location Address
First Line	:	5100 W COPANS RD
Second Line	:	SUITE 800
City	:	MARGATE
State	:	FL
Zip	:	33063-7747
Country	:	US
Telephone Number	:	954-975-4611
Fax Number	:	954-975-4079

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/01/2014

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