Provider Demographics
NPI:1760864086
Name:OBEAD, ASMAA MUGHEAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ASMAA
Middle Name:MUGHEAR
Last Name:OBEAD
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 1:4430 LILAC LN APT 121
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-5765
Mailing Address - Country:US
Mailing Address - Phone:269-532-4423
Mailing Address - Fax:
Practice Address - Street 1:4430 LILAC LN APT 121
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-5765
Practice Address - Country:US
Practice Address - Phone:269-532-4423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI103354219Medicaid