Healthcare Provider Details

I. General information

NPI: 1871692996
Provider Name (Legal Business Name): ENT PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 W ALEXIS RD
TOLEDO OH
43623-1182
US

IV. Provider business mailing address

4640 W ALEXIS RD
TOLEDO OH
43623-1182
US

V. Phone/Fax

Practice location:
  • Phone: 419-474-9324
  • Fax: 855-287-0160
Mailing address:
  • Phone: 419-474-9324
  • Fax: 855-287-0160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35044940
License Number StateOH

VIII. Authorized Official

Name: AFSER SHARIFF
Title or Position: PRESIDENT
Credential: MD
Phone: 419-474-9324