Provider Demographics
NPI:1740248541
Name:BOXWALLA, ASGAR ALIHUSAIN (MD)
Entity type:Individual
Prefix:
First Name:ASGAR
Middle Name:ALIHUSAIN
Last Name:BOXWALLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30233 HIGH VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7733 E JEFFERSON AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-3707
Practice Address - Country:US
Practice Address - Phone:313-499-4255
Practice Address - Fax:313-499-4913
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072386207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH23170Medicare UPIN