Provider Demographics
NPI:1609921881
Name:FISCHER, ASMA QURESHI (MD)
Entity Type:Individual
Prefix:DR
First Name:ASMA
Middle Name:QURESHI
Last Name:FISCHER
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 1:460 NORTH BELAIR ROAD
Mailing Address - Street 2:P.O. BOX 2475
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30801
Mailing Address - Country:US
Mailing Address - Phone:706-650-1075
Mailing Address - Fax:706-650-8725
Practice Address - Street 1:460 NORTH BELAIR RD
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30801
Practice Address - Country:US
Practice Address - Phone:706-650-1075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0261142084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10060173OtherAMERIGROUP
GA338024OtherWELLCARE
GAE00860Medicare UPIN