Ehtisham, Asad

Ehtisham, Asad is an sole proprietor health care provider with primary practice located at 15396 N 83Rd Ave Ste E , Peoria AZ 85381-5627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ehtisham, Asad can be contacted via phone (623) 300-3684.

Contact Information

Primary practice address
15396 N 83Rd Ave Ste E Peoria AZ 85381-5627
Phone: (623) 300-3684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 37736 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 48099 Arizona
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 37736 Kentucky

Profile Details

NPI number 1558366856
LBN Legal business name Ehtisham, Asad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Aug 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558366856 NPPES
Kentucky Other 000052152Q HUMANA - NNS
Kentucky Other 50028054 HUMANA - NNS
Kentucky Other 109615 HUMANA - NNS
Kentucky Other 000000639847 HUMANA - NNS
Kentucky MEDICAID 7100096130 HUMANA - NNS
Kentucky Other 5128838 HUMANA - NNS
Kentucky Other 7601540 HUMANA - NNS
Kentucky MEDICAID 200972890 HUMANA - NNS
Kentucky MEDICAID 200329930A HUMANA - NNS

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