Individual ProviderAsim ImamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Brooklyn, NY 11215-3609(718) 780-3000PECOS EnrollmentBased on the most recent information from CMS, provider Asim Imam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1205161320Provider TypeIndividualFull NameImam, AsimCredentialMDGenderMaleSole ProprietorYesEnumeration Date10/7/2009Last Updated5/8/2023Contact InformationPractice LocationPractice Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-3000Fax(718) 780-3259Mailing LocationMailing Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-3000Fax(718) 780-3259Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense258953New YorkCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101246234Virginia