Provider Demographics
NPI:1609950468
Name:ASLAM, ZAHEER (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHEER
Middle Name:
Last Name:ASLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 GLADIOLUS DR STE 340
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-9622
Mailing Address - Country:US
Mailing Address - Phone:239-935-5599
Mailing Address - Fax:239-313-5614
Practice Address - Street 1:9400 GLADIOLUS DR STE 340
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908
Practice Address - Country:US
Practice Address - Phone:952-378-1800
Practice Address - Fax:952-378-1803
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN408602084P0800X, 2084P0802X
FLME978642084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003067900Medicaid