Basic Information
| Provider Information | |||||||||
| NPI: | 1063860328 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ASHNA | ||||||||
| FirstName: | BAHEER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2020 EAST 28TH ST, SUITE 104 UNIVERSITY OF MINNESOTA ME | ||||||||
| Address2: | SMILEY'S FAMILY MEDICINE CLINIC | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123330774 | ||||||||
| FaxNumber: | 6123590475 | ||||||||
| Practice Location | |||||||||
| Address1: | 2020 EAST 28TH STREET, SUITE 104 | ||||||||
| Address2: | UNIVERSITY OF MINNESOTA MEDICAL CENTER, SMILEY'S CLINIC | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123330774 | ||||||||
| FaxNumber: | 6123590475 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2016 | ||||||||
| LastUpdateDate: | 01/10/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MN | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.