Provider Demographics
NPI:1083889877
Name:MUHSIN-THOMAS, ASIYAH DAANYA (TM, CD, LPN)
Entity Type:Individual
Prefix:MRS
First Name:ASIYAH
Middle Name:DAANYA
Last Name:MUHSIN-THOMAS
Suffix:
Gender:F
Credentials:TM, CD, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 MAIN ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3096
Mailing Address - Country:US
Mailing Address - Phone:404-789-9630
Mailing Address - Fax:
Practice Address - Street 1:913 MAIN ST
Practice Address - Street 2:SUITE K
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3096
Practice Address - Country:US
Practice Address - Phone:404-789-9630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277845-1164W00000X
174N00000X, 175M00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No175M00000XOther Service ProvidersMidwife, Lay
No174H00000XOther Service ProvidersHealth Educator