MEDICARE: DR. ASHFAQ URAIZEE 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	207L00000X	Anesthesiology Physician	20423	NC
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	20423	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1290P	OTHER	NC	BLUE CROSS NC ID#

General Provider Information

NPI Number	:	1720042195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHFAQ URAIZEE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5615
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93755-5615
Country	:	US
Telephone Number	:	559-436-1000
Fax Number	:	559-354-4235

Provider Business Practice Location Address
First Line	:	2825 RANDOLPH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1075
Country	:	US
Telephone Number	:	704-377-1647
Fax Number	:	704-358-8267

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	09/11/2025

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