Provider Demographics
NPI:1689353633
Name:DAHIR, ASMA ALI (PA)
Entity type:Individual
Prefix:
First Name:ASMA
Middle Name:ALI
Last Name:DAHIR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 E VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-5844
Mailing Address - Country:US
Mailing Address - Phone:408-457-7100
Mailing Address - Fax:
Practice Address - Street 1:7526 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-5826
Practice Address - Country:US
Practice Address - Phone:408-457-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-01-07
Deactivation Date:2024-12-10
Deactivation Code:
Reactivation Date:2025-01-06
Provider Licenses
StateLicense IDTaxonomies
CA64562363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical