Basic Information
Provider Information
NPI: 1861653156
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASLAM
FirstName: JONAID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 783311
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191783311
CountryCode: US
TelephoneNumber: 4848844500
FaxNumber: 4848840699
Practice Location
Address1: 1250 S CEDAR CREST BLVD
Address2: SUITE 205
City: ALLENTOWN
State: PA
PostalCode: 181036224
CountryCode: US
TelephoneNumber: 6104029116
FaxNumber: 6104029610
Other Information
ProviderEnumerationDate: 06/19/2008
LastUpdateDate: 10/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XMD459037PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207R00000X125-054985ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XP9149TXN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XP9149TXN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
33466370105TX MEDICAID
8EK53401TXBCBSOTHER
P0137640701TXRAILROAD MEDICAREOTHER


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