Provider Demographics
NPI:1215171632
Name:WARSI, ASIM MOHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:ASIM
Middle Name:MOHAMMAD
Last Name:WARSI
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 1:1 IRON BRIDGE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2058
Mailing Address - Country:US
Mailing Address - Phone:484-622-6340
Mailing Address - Fax:
Practice Address - Street 1:1 IRON BRIDGE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2058
Practice Address - Country:US
Practice Address - Phone:484-622-6340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME 105458208000000X
PAMD458181208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program