Provider Demographics
NPI:1225114440
Name:AL-ASHA, MOHAMMAD HISHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:HISHAM
Last Name:AL-ASHA
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 1:1930 HIGHWAY 35
Mailing Address - Street 2:SUITE 1 ALLAIRE PLAZA
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3538
Mailing Address - Country:US
Mailing Address - Phone:732-449-2212
Mailing Address - Fax:732-974-9888
Practice Address - Street 1:1930 HIGHWAY 35
Practice Address - Street 2:SUITE 1 ALLAIRE PLAZA
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3538
Practice Address - Country:US
Practice Address - Phone:732-449-2212
Practice Address - Fax:732-974-9888
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02970800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ381899OtherFOCUS
NJ4112035OtherAETNA
NJ1203615OtherCHUBB LIFE
NJ3017303Medicaid
NJ4121738OtherCIGNA
NJ0074446000OtherKEYSTONE
NJ0074446001OtherAMERIHEALTH PRIMARY
PA1576664Medicaid
NJP1495397OtherOXFORD
NJ0023361OtherGHI
NJ1059441OtherHORIZON MERCY
NJ251124OtherUNITED HEALTHCARE
NJ0K08156OtherHEALTHNET
NJ0074446000OtherAMERIHEALTH SPECALTY
NJ35083OtherEMPIRE
NJ4112035OtherAETNA