Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301068114 | MI |
Y | 111NI0900X | Internist | 4301068114 | MI |
N | 207RG0300X | Geriatric Medicine | 4301068114 | MI |
NPI | 1083641021 |
---|---|
Provider Name | Dr. Asma Al-Hamid |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49503-5609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
037900000 | (05) | MD |
G86107` | (02) | MD |