| Shfaha Inc | |
| 960 Highland Ave Fort Thomas KY 41075-1707 | |
| (502) 525-3455 | |
| Not Available | 
| Full Name | Shfaha Inc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 960 Highland Ave, Fort Thomas, Kentucky | 
| Authorized Official Name and Position | Ahmad Anjak (DIRECTOR / OWNER) | 
| Authorized Official Contact | 5025253455 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shfaha Inc 4392 Dorchester Ct West Chester OH 45069-8699 Ph: () - | Shfaha Inc 960 Highland Ave Fort Thomas KY 41075-1707 Ph: (502) 525-3455 | 
| NPI Number | 1477144491 | 
|---|---|
| Provider Enumeration Date | 02/02/2021 | 
| Last Update Date | 08/31/2021 | 
| Medicare PECOS PAC ID | 1557776887 | 
|---|---|
| Medicare Enrollment ID | O20210219000956 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477144491 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary | 
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary | 
| Provider Name | Ahmad Anjak | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1033158688 PECOS PAC ID: 0840253977 Enrollment ID: I20050923000766 | 
| St. Luke Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3868 Fax: 859-572-3713 |