Provider Demographics
NPI:1053321117
Name:ASKAR, MAAN A (MD)
Entity Type:Individual
Prefix:
First Name:MAAN
Middle Name:A
Last Name:ASKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26440 HOOVER RD STE C
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-1190
Mailing Address - Country:US
Mailing Address - Phone:586-427-1351
Mailing Address - Fax:586-486-5669
Practice Address - Street 1:13430 E 13 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-3187
Practice Address - Country:US
Practice Address - Phone:586-427-1351
Practice Address - Fax:586-486-5669
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068269207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4177242Medicaid
MI4177242Medicaid
0M97690Medicare ID - Type Unspecified