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NPI Code Detail

MEDICARE: ASAF ALEEM MD

MEDICARE: ASAF ALEEM 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
12084P0800XPsychiatry PhysicianME131514FL
22084P0800XPsychiatry Physician030260GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
352403275001OTHERGABCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851371405
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASAF ALEEM MD
Provider Business Mailing Address
First Line : 2150 PEACHFORD RD
Second Line : STE H
City : ATLANTA
State : GA
Zip : 30327
Country : US
Telephone Number : 770-454-1252
Fax Number : 770-454-1256
Provider Business Practice Location Address
First Line : 6360 PRESIDENTIAL CT STE 3
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-3501
Country : US
Telephone Number : 786-377-5643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 07/23/2024

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Directions to “ ASAF ALEEM MD” Practice Location

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