Individual
ESSAM BASHIR ELASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 HAYES AVE, SUITE F, SANDUSKY, OH 44870-3345
(419) 627-8403
(419) 627-1962
Mailing address
1031 PIERCE STREET, SUITE D, SANDUSKY, OH 44870
(419) 557-5541
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35072580
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129589
ANTHEM BC/BS
OH
01
—
110207740
RAILROAD MEDICARE
OH
05
—
2211547
—
OH
Enumeration date
07/18/2005
Last updated
10/30/2015
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