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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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