Provider Demographics
NPI:1053591032
Name:ASAR, FIRDOUS HASANALI (MD)
Entity type:Individual
Prefix:
First Name:FIRDOUS
Middle Name:HASANALI
Last Name:ASAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:10 SAINT PATRICKS DR
Practice Address - Street 2:SUITE 203
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4527
Practice Address - Country:US
Practice Address - Phone:301-843-0222
Practice Address - Fax:301-843-0651
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071455207Q00000X
TXS5828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB776OtherBCBS NCA GROUP NUMBER FOR WALDORF FAMILY MEDICAL CENTER
MD222101211OtherMEDICAID GROUP NUMBER FOR WALDORF FAMILY MEDICAL CENTER
MDKR10OtherMEDICARE GROUP NUMBER FOR WALDORF FAMILY MEDICAL CENTER