Provider Demographics
NPI:1982665311
Name:ASLAM, AHMED F (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:F
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 1:945 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1401
Mailing Address - Country:US
Mailing Address - Phone:718-513-1782
Mailing Address - Fax:718-513-0228
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250017207R00000X, 207RI0011X, 207R00000X
MN104982207RC0000X
MN53266207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM35750065Medicaid
NMP00242169OtherRAIL ROAD MEDICARE
OR213703Medicaid
NM96837302OtherAHCCCS
NMNM009P60OtherBCBS
NM96837301OtherAHCCCS
NM96837302OtherAHCCCS
NMP00242169OtherRAIL ROAD MEDICARE
OR213703Medicaid
MN060003409Medicare PIN