MEDICARE: DR. AKISHA GLASGOW M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35C.002968	OH
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	3301	WV

General Provider Information

NPI Number	:	1457887994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKISHA GLASGOW M.D.

Provider Business Mailing Address
First Line	:	PO BOX 631104
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-1104
Country	:	US
Telephone Number	:	800-288-8325
Fax Number	:	419-866-5453

Provider Business Practice Location Address
First Line	:	2139 AUBURN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-1104
Country	:	US
Telephone Number	:	513-858-2000
Fax Number	:

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

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	02/12/2026

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