Healthcare Provider Details

I. General information

NPI: 1922075118
Provider Name (Legal Business Name): SADIYA ASIF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 STEFFEN AVE
CINCINNATI OH
45215-2338
US

IV. Provider business mailing address

3937 STONE RIDGE DR
MASON OH
45040-2851
US

V. Phone/Fax

Practice location:
  • Phone: 513-588-3623
  • Fax: 513-588-3644
Mailing address:
  • Phone: 513-234-8746
  • Fax: 513-588-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35053200
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: