Individual
AHMAD ANJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 584-4956
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35079166
OH
207R00000X
Internal Medicine Physician
37001
KY
207RN0300X
Nephrology Physician
Primary
35079166
OH
208M00000X
Hospitalist Physician
35-079166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497380
—
IN
05
—
2244468
—
OH
05
—
64106982
—
KY
Enumeration date
06/06/2006
Last updated
10/30/2019
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