Individual
DR. MOHAMMED ABDUL BARI ASIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 VICTORIA COMMONS BLVD STE 104, DELAND, FL 32724-7722
(386) 740-4083
Mailing address
151 VICTORIA COMMONS BLVD STE 104, DELAND, FL 32724-7722
(386) 740-4083
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME#94467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U6892X
MEDICARE PTAN
—
Enumeration date
07/06/2006
Last updated
03/13/2019
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