Provider Demographics
NPI:1689835431
Name:ASGHER, SHOAIB (MD)
Entity Type:Individual
Prefix:DR
First Name:SHOAIB
Middle Name:
Last Name:ASGHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 LIBERTY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2519
Mailing Address - Country:US
Mailing Address - Phone:513-777-8300
Mailing Address - Fax:513-777-0431
Practice Address - Street 1:8020 LIBERTY WAY
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2519
Practice Address - Country:US
Practice Address - Phone:513-777-8300
Practice Address - Fax:513-777-0431
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262545207Q00000X
OH35.124547207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0129139Medicaid
PA1026414470001Medicaid
NY03368650Medicaid
NYJ400054119Medicare PIN
PA1026414470001Medicaid