Provider Demographics
NPI:1154941839
Name:AQIB, ASMA (MD)
Entity type:Individual
Prefix:MRS
First Name:ASMA
Middle Name:
Last Name:AQIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASMA
Other - Middle Name:
Other - Last Name:RANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9422 ARLINGTON EXPY, DEDICATED SENIOR MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225
Mailing Address - Country:US
Mailing Address - Phone:904-559-1844
Mailing Address - Fax:904-900-7707
Practice Address - Street 1:9422 ARLINGTON EXPY, DEDICATED SENIOR MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225
Practice Address - Country:US
Practice Address - Phone:904-559-1844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME160032207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine