Organization
AZHAR ASLAM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZHAR ASLAM MD (OWNER)
(217) 422-9036
Entity
Organization
Contact information
Practice address
1770 E LAKE SHORE DR, SUITE 103, DECATUR, IL 62521-3832
(217) 422-9036
(217) 422-9812
Mailing address
1770 E LAKE SHORE DR, SUITE 103, DECATUR, IL 62521-3832
(217) 422-9036
(217) 422-9812
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036-108233
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006113660001
—
NY
05
—
0006113660001
—
PA
01
—
AS867969
BCBS
PA
Enumeration date
09/13/2006
Last updated
05/07/2015
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