MEDICARE: DR. ASHRAF F ELKERM MD

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	207R00000X	Internal Medicine Physician	81917	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	042472266	OTHER	THREE RIVERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	784130	OTHER	MVP HEALTH CARE
4	0402639	OTHER	EVERCARE
5	042472266	OTHER	ONE HEALTH PLAN
6	AA1200	OTHER	HARVARD PILGRIM HEALTHCAR
7	1163808	OTHER	FIRST HEALTH
8	4766351	OTHER	CIGNA HEALTH PLAN
9	5442476	OTHER	AETNA US HEALTHCARE
10	J17715	OTHER	BLUE SHIELD HMO BLUE
11	042472266	OTHER	HEALTHCARE VALUE MANAGEME
12	36660	OTHER	FALLON COMMUNITY HEALTH P
13	J17715	OTHER	BLUE CARE ELECT
14	042472266	OTHER	PRIVATE HEALTHCARE SYTSTE
15	042472266	OTHER	TRICARE CHAMPUS
16	J17715	OTHER	BLUE SHIELD INDEMNITY

General Provider Information

NPI Number	:	1306825831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHRAF F ELKERM MD

Provider Business Mailing Address
First Line	:	PO BOX 2153 DEPT 40338
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35287-9386
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 WEST ST
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-2073
Country	:	US
Telephone Number	:	978-537-0771
Fax Number	:	978-401-3116

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	12/27/2022

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