Ayesha Mallick Imam, M.D.
NPI #1306280094 in Springfield, Ohio
Provider Information
- NPI Number
- 1306280094
- Entity Type
- Individual
- Name
- Ayesha Mallick Imam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Apr 24, 2013
- Last Updated
- Nov 2, 2022
Practice Location
- Address
- 100 MEDICAL CENTER DR
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45504-2687
- Phone
- (937) 523-4147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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