Provider Demographics
NPI:1821706466
Name:WAHEEB, ASMA TARIQ
Entity Type:Individual
Prefix:
First Name:ASMA
Middle Name:TARIQ
Last Name:WAHEEB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9728 NETTLETON PARK
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5229
Mailing Address - Country:US
Mailing Address - Phone:937-241-7704
Mailing Address - Fax:
Practice Address - Street 1:9728 NETTLETON PARK
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5229
Practice Address - Country:US
Practice Address - Phone:937-241-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide