MEDICARE: DR. AZRA ABIDA ASHRAF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	D81566	MD
2	208600000X	Surgery Physician	AS4148501 E226121	MA
3	2086S0122X	Plastic and Reconstructive Surgery Physician	D81566	MD
4	208200000X	Plastic Surgery Physician	MD439621	PA

General Provider Information

NPI Number	:	1134393986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AZRA ABIDA ASHRAF M.D.

Provider Business Mailing Address
First Line	:	360 SAN MIGUEL DR STE 207
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7820
Country	:	US
Telephone Number	:	714-547-3346
Fax Number	:	714-547-3252

Provider Business Practice Location Address
First Line	:	360 SAN MIGUEL DR STE 207
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7820
Country	:	US
Telephone Number	:	949-877-7910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	02/08/2023

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