Individual
IRFAN M ASIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7100
(205) 975-6962
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37415
AL
207Q00000X
Family Medicine Physician
MD47413
TN
207Q00000X
Family Medicine Physician
MD60139831
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
37321
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
37415
AL
207R00000X
Internal Medicine Physician
37415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3373352
MEDICAID GRP UFP
TN
05
—
PENDING
—
SC
Enumeration date
07/09/2007
Last updated
06/29/2023
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