Basic Information
| Provider Information | |||||||||
| NPI: | 1497329833 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASLAM | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | HUZAIR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 E KIRBY ST APT 404 | ||||||||
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| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482024040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728961461 | ||||||||
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| Practice Location | |||||||||
| Address1: | DETROIT MEDICAL CENTER GME OFFICE | ||||||||
| Address2: | 4201 ST. ANTOINE, UHC-9C | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482014820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3137455146 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2021 | ||||||||
| LastUpdateDate: | 05/19/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 5151015246APP21 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.