Provider Demographics
NPI:1730403320
Name:ASAD, ISMAT ARA (MD)
Entity type:Individual
Prefix:DR
First Name:ISMAT
Middle Name:ARA
Last Name:ASAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ISMAT
Other - Middle Name:ARA
Other - Last Name:ASAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2600 E PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2932
Mailing Address - Country:US
Mailing Address - Phone:804-262-2333
Mailing Address - Fax:804-262-0848
Practice Address - Street 1:2600 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2932
Practice Address - Country:US
Practice Address - Phone:804-262-2333
Practice Address - Fax:804-262-0848
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101257074207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN