Ayesha Mallick Imam, MD
Internal Medicine in Springfield, Ohio
1306280094- Practice location
- 100 Medical Center Dr, Springfield, OH 45504-2687
- Phone
- 937-523-4147
- Fax
- —
- Last updated
- November 2, 2022
Ayesha Mallick Imam is an Internal Medicine based in Springfield, OH. Ayesha Mallick Imam practices in Springfield, OH and has the professional credentials of MD. The NPI Number for Ayesha Mallick Imam is 1306280094 and holds a License No. 35.144361 (OH). The current practice location address for Ayesha Mallick Imam is 100 Medical Center Dr, Springfield, OH 45504-2687 and can be reached out via phone at 937-523-4147.
Provider Profile Details
- NPI Number
- 1306280094
- Provider Name
- Ayesha Mallick Imam
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Medical Center Dr, Springfield, OH 45504-2687
- Phone Number
- 937-523-4147
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 24, 2013
- Last Update Date
- November 2, 2022
- Certification Date
- November 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Medical Center Dr
Springfield, OH 45504-2687 - City
- Springfield
- State
- Ohio
- Zip
- 45504-2687
- Phone Number
- 937-523-4147
Provider Business Mailing Address Details
- Address
- 150 Bergen Street,
Suite E-401
Newark,, NJ 07101-1709 - City
- Newark,
- State
- NJ
- Zip
- 07101-1709
License Information
- License Number
- 35.144361
- License State
- OH
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ayesha Mallick Imam, MD?
The NPI number of Ayesha Mallick Imam, MD is 1306280094. It was assigned on April 24, 2013 and is currently active in the NPPES registry.
What is the specialty of Ayesha Mallick Imam, MD?
Ayesha Mallick Imam, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in OH under license number 35.144361.
Where does Ayesha Mallick Imam, MD practice?
The practice location is 100 Medical Center Dr, Springfield, OH 45504-2687. The office can be reached at 937-523-4147 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306280094 directly on the NPPES registry website.