Basic Information
| Provider Information | |||||||||
| NPI: | 1659756005 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASLAM | ||||||||
| FirstName: | HASEEB | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16500 N PARK DR APT 914 | ||||||||
| Address2: | |||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480754753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3133277034 | ||||||||
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| Practice Location | |||||||||
| Address1: | 16001 WEST NILE MILE ROAD FISHER CENTER | ||||||||
| Address2: | 401 | ||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488493151 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2015 | ||||||||
| LastUpdateDate: | 07/28/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301107879 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.