Organization
DIGESTIVE DISEASES SPECIALISTS PC
Active
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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