Individual
DR. AZHAR ASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
MD035339L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000613660001
—
PA
01
—
AS867969
BS
PA
Enumeration date
05/10/2006
Last updated
04/28/2015
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