Provider Demographics
NPI:1194752543
Name:ASGHAR, MIR M (MD)
Entity type:Individual
Prefix:DR
First Name:MIR
Middle Name:M
Last Name:ASGHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2280
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-6080
Mailing Address - Country:US
Mailing Address - Phone:313-598-7460
Mailing Address - Fax:313-429-7307
Practice Address - Street 1:1255 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1721
Practice Address - Country:US
Practice Address - Phone:517-545-7400
Practice Address - Fax:517-545-7477
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2018-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301064278207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3426746Medicaid
MI3426746Medicaid
MIP16770001Medicare PIN