Provider Demographics
NPI:1922075118
Name:ASIF, SADIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SADIYA
Middle Name:
Last Name:ASIF
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 1:3937 STONE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2851
Mailing Address - Country:US
Mailing Address - Phone:513-234-8746
Mailing Address - Fax:513-588-3644
Practice Address - Street 1:1401 STEFFEN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2338
Practice Address - Country:US
Practice Address - Phone:513-588-3623
Practice Address - Fax:513-588-3644
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0636226Medicaid
A17002Medicare UPIN
OH0636226Medicaid