Provider Demographics
NPI:1063860328
Name:ASHNA, BAHEER (MD)
Entity Type:Individual
Prefix:MR
First Name:BAHEER
Middle Name:
Last Name:ASHNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2020 EAST 28TH ST, SUITE 104 UNIVERSITY OF MINNESOTA ME
Mailing Address - Street 2:SMILEY'S FAMILY MEDICINE CLINIC
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407
Mailing Address - Country:US
Mailing Address - Phone:612-333-0774
Mailing Address - Fax:612-359-0475
Practice Address - Street 1:2020 EAST 28TH STREET, SUITE 104
Practice Address - Street 2:UNIVERSITY OF MINNESOTA MEDICAL CENTER, SMILEY'S CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407
Practice Address - Country:US
Practice Address - Phone:612-333-0774
Practice Address - Fax:612-359-0475
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program