Provider Demographics
NPI:1588202741
Name:ASMARO, NIVEEN HANI (PHARMD)
Entity Type:Individual
Prefix:
First Name:NIVEEN
Middle Name:HANI
Last Name:ASMARO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NIVEEN
Other - Middle Name:HANI
Other - Last Name:SALEEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:685 E MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6343
Mailing Address - Country:US
Mailing Address - Phone:248-723-1156
Mailing Address - Fax:
Practice Address - Street 1:685 E MAPLE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6343
Practice Address - Country:US
Practice Address - Phone:248-723-1156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020413991835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist