Individual
AJAY PONKSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3026
(513) 636-4830
(513) 636-7868
Mailing address
3333 BURNET AVE ML 7009, CINCINNATI, OH 45229-3026
(513) 636-4830
(513) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.085690
OH
208M00000X
Hospitalist Physician
35.085690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351040
ANTHEM
KY
05
—
2616548
—
OH
05
—
64089949
—
KY
01
—
KTP63401
CHOICE CARE
KY
Enumeration date
07/18/2005
Last updated
11/11/2025
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