Individual provider · NPI-1

Ashruth Azad, MD

Internal Medicine · Lima, OH

NPI number1942528013
StatusActive
Last updated in NPPESFeb 18, 2021

Details

NPI
1942528013
Entity type
Individual (NPI-1)
Name
Ashruth Azad
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2010
Certification date
Feb 18, 2021
Last updated
Feb 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35.122111OHYes
207RN0300X Internal Medicine, NephrologyTP345KY
207RN0300X Internal Medicine, Nephrology48154KY

Other names

  • Puthiyapurayil Azad Ashruth Chundngapuyil (Former Name)

Practice location

730 W Market St
Lima, OH 45801-4602

Phone 419-226-4310 · Fax 419-226-4315

Mailing address

730 W Market St
Lima, OH 45801-4602

Phone 419-226-4310 · Fax 419-226-4315

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