Provider Demographics
NPI:1497329833
Name:ASLAM, ADAM HUZAIR
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:HUZAIR
Last Name:ASLAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E KIRBY ST APT 404
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-4040
Mailing Address - Country:US
Mailing Address - Phone:972-896-1461
Mailing Address - Fax:
Practice Address - Street 1:DETROIT MEDICAL CENTER GME OFFICE
Practice Address - Street 2:4201 ST. ANTOINE, UHC-9C
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-4820
Practice Address - Country:US
Practice Address - Phone:313-745-5146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5151015246APP21207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine