Provider Demographics
NPI:1780828798
Name:ASIF, AISHA FIRDOS (MD)
Entity Type:Individual
Prefix:
First Name:AISHA
Middle Name:FIRDOS
Last Name:ASIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7125 ALTIS WAY APT 8215
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6862
Mailing Address - Country:US
Mailing Address - Phone:909-569-5409
Mailing Address - Fax:407-656-0998
Practice Address - Street 1:3712 WINTER GARDEN VINELAND RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787
Practice Address - Country:US
Practice Address - Phone:407-656-2229
Practice Address - Fax:407-656-0998
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119908207PP0204X
FLME131571208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine