Provider Demographics
NPI:1750357836
Name:VASIQ, MUHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:VASIQ
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 1:28401 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-5438
Mailing Address - Country:US
Mailing Address - Phone:586-754-3830
Mailing Address - Fax:586-754-3840
Practice Address - Street 1:11670 MARTIN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-4511
Practice Address - Country:US
Practice Address - Phone:586-754-3830
Practice Address - Fax:586-754-3840
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086921207R00000X, 207R00000X
AZ36063208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DG6903OtherRAIL ROAD MEDICARE GROUP
P00448853OtherRAIL ROAD MEDICARE
AZ140708Medicaid
AZZ116062Medicare PIN
I66891Medicare UPIN
P00448853OtherRAIL ROAD MEDICARE