MEDICARE: DR. ANTHONY GHASSAN ASHKAR DO

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	5101021418	MI
2	207RP1001X	Pulmonary Disease Physician	34.010962	OH
3	207RP1001X	Pulmonary Disease Physician	5101021418	MI

General Provider Information

NPI Number	:	1376862417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY GHASSAN ASHKAR DO

Provider Business Mailing Address
First Line	:	29099 HEALTH CAMPUS DR STE 170
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-5299
Country	:	US
Telephone Number	:	400-827-5195
Fax Number	:	440-827-5189

Provider Business Practice Location Address
First Line	:	23500 PARK ST STE 3
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2598
Country	:	US
Telephone Number	:	313-292-3500
Fax Number	:	313-292-3503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2010
Last Update Date	:	10/28/2024

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