MEDICARE: ASHRAF S NASSEF MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	35-074125	OH
2	2084N0400X	Neurology Physician	35-074125	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134135882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHRAF S NASSEF MD INC

Provider Business Mailing Address
First Line	:	4404 GLEN ESTE WITHAMSVILLE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1306
Country	:	US
Telephone Number	:	513-943-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4404 GLEN ESTE WITHAMSVILLE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1306
Country	:	US
Telephone Number	:	513-943-1000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASHRAF S NASSEF
Credential	:	MD
Telephone Number	:	513-943-1000

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	06/12/2012

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