Individual
ASIM A. MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 W JEFFERSON BLVD STE 120, FORT WAYNE, IN 46804-4159
(260) 435-7612
(260) 435-7672
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
PENDING
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922285139
—
WI
Enumeration date
01/30/2008
Last updated
09/29/2020
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