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Individual
DR. ASHFAQ AHSANUDDIN
Active
Individual
DR. ASHFAQ AHSANUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20312
WV
208M00000X
Hospitalist Physician
Primary
2008-00231
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010070244
FIRST HEALTH
WV
01
—
042
MTST BCBS
WV
01
—
110215608
RAILROAD MEDICARE
WV
01
—
134443
SOUTHERN HEALTH
WV
05
—
1801503000
—
WV
01
—
293968
MAMSI
WV
01
—
317844
ANTHEM BCBS
WV
01
—
513111001
CIGNA
WV
01
—
7706176
AETNA
WV
Enumeration date
07/09/2006
Last updated
09/14/2015
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