Makhdom, Asim
Makhdom, Asim is an individual health care provider with primary practice located at 195 Pleasant Street, Suite 5 , Bradford PA 16701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Makhdom, Asim can be contacted via phone (814) 362-5701.Contact Information
Primary practice address
195 Pleasant Street, Suite 5
Bradford PA 16701
Phone: (814) 362-5701
Fax: (814) 362-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 287870 | New York |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD456673 | Pennsylvania |
Profile Details
| NPI number | 1043767734 |
|---|---|
| LBN Legal business name | Makhdom, Asim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2016 |
| Last updated | Jul 19th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043767734 | NPPES |
| New York | MEDICAID | 04760550 |
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