Mohammed, Asim A.

Mohammed, Asim A. is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 120 , Fort Wayne IN 46804-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, which is considered as his primary health care specialty. Mohammed, Asim A. can be contacted via phone (260) 435-7612.

Contact Information

Primary practice address
7910 W Jefferson Blvd Ste 120 Fort Wayne IN 46804-4159
Phone: (260) 435-7612
Fax: (260) 435-7672
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X PENDING Indiana

Profile Details

NPI number 1922285139
LBN Legal business name Mohammed, Asim A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Sep 29th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922285139 NPPES
Wisconsin MEDICAID 1922285139

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