Individual
STEPHEN R ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SALEM ST, LAFAYETTE, IN 47904-2164
(765) 448-8000
(765) 448-8252
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01024554A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197892
ANTHEM PIN
IN
05
—
100231050
—
IN
01
—
10824713
CAQH NUMBER
IN
01
—
9396807
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
01/28/2021
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