DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ASAD EHTISHAM, MD

Active Sole Proprietor

DR. ASAD EHTISHAM, MD is a Neurology healthcare provider located in PEORIA, Arizona. NPI 1558366856 is currently active in the NPPES registry. Verify at CMS.

Neurology · PEORIA, AZ

Registration Details

NPI Number
1558366856
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2005 (21.138901697976 yrs)
Last Updated
Aug 7, 2020
Licenses
37736 (KY)
48099 (AZ)
37736 (KY)
Sole Proprietor
Yes

Practice Information

Address
15396 N 83RD AVE STE E
PEORIA, AZ, 853815627
Browse AZ providers · Browse ZIP 85381
Phone
6233003684
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology
Additional Specialty
Psychoanalysis

Other Neurology Providers in PEORIA, AZ

Name Credential NPI
STEPHEN R HEMPELMAN MD 1235179334
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.