Provider Demographics
NPI:1184723553
Name:NASSEF, ASHRAF S (MD)
Entity type:Individual
Prefix:
First Name:ASHRAF
Middle Name:S
Last Name:NASSEF
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 1:4404 GLEN ESTE WITHAMSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1306
Mailing Address - Country:US
Mailing Address - Phone:513-895-0000
Mailing Address - Fax:
Practice Address - Street 1:4404 GLEN ESTE WITHAMSVILLE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1306
Practice Address - Country:US
Practice Address - Phone:513-895-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074125N2084N0400X
KY338542084N0400X, 2084P2900X
OH35-0741252084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2143326Medicaid
KY64338544Medicaid
KYP000696620Medicare PIN
OHG72832Medicare UPIN
OH2143326Medicaid
OHP00089212Medicare PIN
KY008844001Medicare PIN