Individual
DR. ANJUM S ASHRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 LINCOLN AVE, EVANSVILLE, IN 47714-0147
(812) 469-6800
Mailing address
3400 LINCOLN AVE, EVANSVILLE, IN 47714-0147
(812) 469-6800
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
01048619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328027
ANTHEM PROVIDER #
IN
05
—
100180890L
—
IN
05
—
200478750
—
IN
01
—
P00119093
INDIV. RR MEDICARE #
IN
Enumeration date
05/30/2006
Last updated
07/11/2007
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