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NPI Code Detail

MEDICARE: ASGAR ALIHUSAIN BOXWALLA MD

MEDICARE: ASGAR ALIHUSAIN BOXWALLA 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
1207RI0200XInfectious Disease Physician4301072386MI

General Provider Information

NPI Number : 1740248541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASGAR ALIHUSAIN BOXWALLA MD
Provider Business Mailing Address
First Line : 30233 HIGH VALLEY RD
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-2168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7733 E JEFFERSON AVE
Second Line : SUITE 2C
City : DETROIT
State : MI
Zip : 48214-3707
Country : US
Telephone Number : 313-499-4255
Fax Number : 313-499-4913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/08/2007

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