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Contact Information

MIRNA ASHAM, MD
821 WESTWOOD DR
SEDALIA, MO65301
 Phone: 660-826-4774
 Fax: 888-979-8868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MIRNA ASHAM · (Female)

NPI # 1871086876
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2018
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KS License # PENDING
  • MO License # 2021030385
Hospital affiliation(s)
  • BOTHWELL REGIONAL HEALTH CENTER - (Acute Care)
    601 E 14TH ST
    SEDALIA, MO 65302
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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