Provider Demographics
NPI:1356865182
Name:CH ASLAM ENTERPRISES PLLC
Entity Type:Organization
Organization Name:CH ASLAM ENTERPRISES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KHAWAR
Authorized Official - Middle Name:ASLAM
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-713-7189
Mailing Address - Street 1:34904 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-1766
Mailing Address - Country:US
Mailing Address - Phone:734-713-7189
Mailing Address - Fax:734-263-1295
Practice Address - Street 1:34904 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1766
Practice Address - Country:US
Practice Address - Phone:734-713-7189
Practice Address - Fax:734-263-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301101413207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301101413OtherSTATE LICENSE
MI5315070934OtherCONTROLLED SUBSTANCE LICENSE
MI5315070934OtherCONTROLLED SUBSTANCE LICENSE