Provider Demographics
NPI:1912165028
Name:ARASTU, ALI ASAD (MD)
Entity Type:Individual
Prefix:
First Name:ALI ASAD
Middle Name:
Last Name:ARASTU
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 1:10110 MOLECULAR DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-605-7468
Mailing Address - Fax:301-605-7469
Practice Address - Street 1:10110 MOLECULAR DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-605-7468
Practice Address - Fax:301-605-7469
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236152 DUP207RI0200X
MDD0069497207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD024812600Medicaid
MD024812600Medicaid
160276ZDM5Medicare PIN