Provider Demographics
NPI:1134576440
Name:ASAD, MEHWISH (MD)
Entity type:Individual
Prefix:
First Name:MEHWISH
Middle Name:
Last Name:ASAD
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 1:4201 ST. ANTOINE - UHC 9C
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-745-5147
Mailing Address - Fax:313-966-0880
Practice Address - Street 1:4201 ST. ANTOINE - UHC 9C
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-398-0670
Practice Address - Fax:313-966-0880
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2017-04-20
Deactivation Date:2017-01-20
Deactivation Code:
Reactivation Date:2017-04-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program