Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ayesha Mallick Imam, MD

Individual provider Internal Medicine Physician · NPI 1306280094

Ayesha Mallick Imam, MD is an Internal Medicine in Springfield, Ohio. Qualified in 2009, 17 years ago. Practices with Usacs Critical Care Medicine Services of Ohio, LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Medical Center Dr
Springfield, OH 45504-2687
Phone: (937) 523-4147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.144361 (OH)

Record details

NPI number1306280094
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Usacs Critical Care Medicine Services Of Ohio, Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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