Provider Demographics
NPI:1659182491
Name:ASLAM, MOMINA
Entity type:Individual
Prefix:MS
First Name:MOMINA
Middle Name:
Last Name:ASLAM
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 1:9521 QUARRY BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1925
Mailing Address - Country:US
Mailing Address - Phone:301-300-6266
Mailing Address - Fax:
Practice Address - Street 1:9521 QUARRY BRIDGE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1925
Practice Address - Country:US
Practice Address - Phone:301-300-6266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant