Provider Demographics
NPI:1346683836
Name:HALEEM, ASIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIMA
Middle Name:
Last Name:HALEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3920A BRIDGE RD
Mailing Address - Street 2:STE 207
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1107
Mailing Address - Country:US
Mailing Address - Phone:757-983-2200
Mailing Address - Fax:757-983-2201
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:GHENT FAMILY MEDICINE CENTER, 1ST FLOOR
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5955
Practice Address - Fax:757-446-5013
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT YET OBTAINED390200000X
VA0101259503207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program