Provider Demographics
NPI:1407838535
Name:AFSARI, ASGHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ASGHAR
Middle Name:
Last Name:AFSARI
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 1:7419 MIDDLEBELT RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4182
Mailing Address - Country:US
Mailing Address - Phone:248-851-6070
Mailing Address - Fax:248-626-2229
Practice Address - Street 1:7419 MIDDLEBELT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4182
Practice Address - Country:US
Practice Address - Phone:248-851-6070
Practice Address - Fax:248-626-2229
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI31631207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIA76149Medicare UPIN
MI06381479161Medicare PIN