Individual
ASIM AHMED KICHLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2200
(817) 735-5441
Mailing address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2200
(817) 735-5441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110962
MI
207R00000X
Internal Medicine Physician
48656
KY
207R00000X
Internal Medicine Physician
Primary
U7887
TX
Other
Enumeration date
01/21/2015
Last updated
01/12/2024
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