Azhar Aslam Md Llc in Decatur - Otolaryngology/facial Plastic Surgery
Azhar Aslam Md Llc - NPI 1174628572
Azhar Aslam Md Llc is a Otolaryngology/facial Plastic Surgery in Decatur, Illinois. Azhar Aslam Md Llc practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Azhar Aslam Md Llc is 1174628572. The last update date is 2015-05-07.
Azhar Aslam Md Llc's current location address is 1770 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174229036 and fax number 2174229812. The mailing address for Azhar Aslam Md Llc is 1770 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Azhar Aslam Md Llc |
|---|---|
| Address | 1770 E Lake Shore Dr, Decatur, Illinois |
| Phone Number | 2174229036 |
| Fax Number | 2174229812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Aslam Azhar |
| Credentials | MD |
| Telephone Number | 2174229036 |
NPI Number Detail
| NPI Number | 1174628572 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2015-05-07 |
Provider Mailing Address Detail
| Address | 1770 E Lake Shore Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213832 |
| Phone Number | 2174229036 |
| Fax Number | 2174229812 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 036-108233 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6113660001 | PA | -- | |
| 6113660001 | NY | -- | |
| AS867969 | PA | BCBS |
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What is the Azhar Aslam Md Llc's 1174628572?
The Azhar Aslam Md Llc's NPI (National Provider Identifier) Number is 1174628572. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Azhar Aslam Md Llc located?
The Azhar Aslam Md Llc is located at 1770 E Lake Shore Dr, Decatur, IL 625213832.
What is the Azhar Aslam Md Llc's specialty and taxonomy code?
The Azhar Aslam Md Llc's specialty is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code is 207Yx0905X.
On what date did the Azhar Aslam Md Llc receive the assignment of its 1174628572 from the Centers for Medicare & Medicaid Services?
The Azhar Aslam Md Llc was issued its 1174628572 by the Centers for Medicare & Medicaid Services on 2006-09-13.
As of what date were the details pertaining to Azhar Aslam Md Llc last refreshed?
The information related to the Azhar Aslam Md Llc, including its address, specialty, and other relevant details, was last updated on 2015-05-07.
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