Provider Demographics
NPI:1427045483
Name:ASHER, CHITRA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHITRA
Middle Name:
Last Name:ASHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29600 S WIXOM RD
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-3430
Mailing Address - Country:US
Mailing Address - Phone:248-668-1900
Mailing Address - Fax:248-668-1905
Practice Address - Street 1:29600 S WIXOM RD
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-3430
Practice Address - Country:US
Practice Address - Phone:248-668-1900
Practice Address - Fax:248-668-1905
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062176207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4219576-10Medicaid
MI4219576-10Medicaid
MI0H26262 017Medicare ID - Type Unspecified