MEDICARE: ASIYA MARYAM ABDUL-ALIM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	171M00000X	Case Manager/Care Coordinator
3	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1659235166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIYA MARYAM ABDUL-ALIM

Provider Business Mailing Address
First Line	:	1500 DETROIT AVE APT 416
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2446
Country	:	US
Telephone Number	:	216-389-5254
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 DETROIT AVE APT 416
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2446
Country	:	US
Telephone Number	:	216-389-5254
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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