Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 430116942 | MI |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301106942 | MI |
NPI | 1114115409 |
---|---|
Provider Name | Muhammad Faisal Aslam |
First Address | Detroit, MI 48236-2167 |
Second Address | Detroit, MI 48236-2167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2007 |
Last Update Date | 26/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0H208910 | BLUE CROSS (01) | MI |