Provider Demographics
NPI:1790655512
Name:ASAD, NIHAYA
Entity type:Individual
Prefix:
First Name:NIHAYA
Middle Name:
Last Name:ASAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2173 FARNHAM LN
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-1726
Mailing Address - Country:US
Mailing Address - Phone:314-484-9272
Mailing Address - Fax:
Practice Address - Street 1:2173 FARNHAM LN
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-1726
Practice Address - Country:US
Practice Address - Phone:314-484-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter