Provider Demographics
NPI:1366880106
Name:SALEEM, ASMA (MD)
Entity type:Individual
Prefix:MS
First Name:ASMA
Middle Name:
Last Name:SALEEM
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 1:608 NW 9TH STREET, SUITE 1000
Mailing Address - Street 2:ST. ANTHONY PHYSICIAN GROUP FAMILY MEDICINE CENTER
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102
Mailing Address - Country:US
Mailing Address - Phone:405-272-7494
Mailing Address - Fax:405-272-6985
Practice Address - Street 1:608 NW 9TH STREET
Practice Address - Street 2:SUITE 1000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102
Practice Address - Country:US
Practice Address - Phone:405-272-7494
Practice Address - Fax:405-272-6985
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2016-07-29
Deactivation Date:2014-04-03
Deactivation Code:
Reactivation Date:2014-04-23
Provider Licenses
StateLicense IDTaxonomies
OK29970207Q00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics