Provider Demographics
NPI:1396011466
Name:FAKHRI, ASIF ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIF
Middle Name:ALI
Last Name:FAKHRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-0800
Mailing Address - Country:US
Mailing Address - Phone:410-221-2300
Mailing Address - Fax:410-834-0269
Practice Address - Street 1:5262 WOODS RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-3796
Practice Address - Country:US
Practice Address - Phone:410-221-2300
Practice Address - Fax:410-834-0269
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0080876207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine