Provider Demographics
NPI:1508192824
Name:ASGHAR AFSARI, M.D., P.C.
Entity Type:Organization
Organization Name:ASGHAR AFSARI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASGHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AFSARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-851-6070
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:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASGHAR AFSARI, M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-21
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI03161207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI06381479161Medicare PIN
MIA76149Medicare UPIN