Healthcare Provider Details

I. General information

NPI: 1972520724
Provider Name (Legal Business Name): ASH MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1174 E HOME RD SUITE N
SPRINGFIELD OH
45503-2726
US

IV. Provider business mailing address

1174 E HOME RD SUITE N
SPRINGFIELD OH
45503-2726
US

V. Phone/Fax

Practice location:
  • Phone: 937-398-0354
  • Fax: 937-398-0358
Mailing address:
  • Phone: 937-398-0354
  • Fax: 937-398-0358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHFAQ AHMED
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-398-0354