Provider Demographics
NPI:1689967267
Name:FELIX, ASHVIN GEORGE (MD)
Entity Type:Individual
Prefix:
First Name:ASHVIN
Middle Name:GEORGE
Last Name:FELIX
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 1:2939 W COURSE RD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9629
Mailing Address - Country:US
Mailing Address - Phone:419-345-1635
Mailing Address - Fax:
Practice Address - Street 1:6819 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD TWSP
Practice Address - State:OH
Practice Address - Zip Code:43528
Practice Address - Country:US
Practice Address - Phone:419-345-1635
Practice Address - Fax:419-383-5515
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.123486207Q00000X
AZ59257207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine