Healthcare Provider Details

I. General information

NPI: 1578481016
Provider Name (Legal Business Name): ASHLYN VARGHESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 HIGHLAND AVE
CINCINNATI OH
45219-2399
US

IV. Provider business mailing address

3130 HIGHLAND AVE
CINCINNATI OH
45219-2399
US

V. Phone/Fax

Practice location:
  • Phone: 405-546-8518
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number03445942
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: