Provider Demographics
NPI:1275739781
Name:KASHIF, AFSHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AFSHAN
Middle Name:
Last Name:KASHIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:200 E CHESTNUT ST BLDG SUITE303
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1831
Practice Address - Country:US
Practice Address - Phone:502-629-5552
Practice Address - Fax:502-629-3132
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090507390200000X, 207Q00000X
KY43863207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201352130Medicaid
KY610978438VOtherHUMANA - NLPCC
KY7100142240Medicaid
KY000000690946OtherANTHEM - NLPCC
KY121308OtherSIHO - NLPCC
KYP00905757OtherMEDICARE RAILROAD - KY
KY50030951OtherPASSPORT & PP ADVTG - NLPCC
KY4995183OtherCIGNA - NLPCC
KYK137500Medicare PIN