Provider Demographics
NPI:1396111712
Name:MURSLEEN, ASMA (MD)
Entity type:Individual
Prefix:
First Name:ASMA
Middle Name:
Last Name:MURSLEEN
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 1:1960 W FRYE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6238
Mailing Address - Country:US
Mailing Address - Phone:480-917-5900
Mailing Address - Fax:520-836-6663
Practice Address - Street 1:1960 W FRYE RD STE 5
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6238
Practice Address - Country:US
Practice Address - Phone:809-175-5900
Practice Address - Fax:520-836-6663
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ65472207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program