Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4351046249 | MI |
Y | 111NI0900X | Internist | 4351046249 | MI |
NPI | 1003430075 |
---|---|
Provider Name | Jamila Asif |
First Address | Dearborn, MI 48124-4089 |
Second Address | Dearborn, MI 48124-4089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2020 |
Last Update Date | 05/06/2020 |