Provider Demographics
NPI:1699722090
Name:AFTAB, SUHAIL (MD)
Entity type:Individual
Prefix:
First Name:SUHAIL
Middle Name:
Last Name:AFTAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 REGENCY CT
Mailing Address - Street 2:STE 101
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3075
Mailing Address - Country:US
Mailing Address - Phone:419-720-7866
Mailing Address - Fax:567-249-0100
Practice Address - Street 1:2000 REGENCY CT
Practice Address - Street 2:STE 101
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-882-0003
Practice Address - Fax:419-882-2195
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082998207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2439472Medicaid
MI4559943-10Medicaid
OH000000310204OtherBCBS
MI4559943-10Medicaid
OHAF4123521Medicare ID - Type Unspecified
OH2439472Medicaid