Organization
DIGESTIVE DISEASES SPECIALISTS PC
Active
Other names
Dr Asif Azeem
Organization subpart
No
Provider details
NPI number
Authorized official
ASIF AZEEM MD (OWNER)
(616) 942-6230
Entity
Organization
Contact information
Practice address
1200 EAST PARIS AVE SE, STE 8, GRAND RAPIDS, MI 49546-8260
(616) 942-6230
(616) 942-6270
Mailing address
PO BOX 3405, EVANSVILLE, IN 47733-3405
(616) 457-9000
(616) 457-3801
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004112961
BC/BS
MI
05
—
104554722
—
MI
01
—
P00083034
RR MEDICARE
—
Enumeration date
08/17/2005
Last updated
05/21/2015
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