Healthcare Provider Details

I. General information

NPI: 1699937771
Provider Name (Legal Business Name): GOHAR ASHRAF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 E BULLARD AVE STE 115
FRESNO CA
93710-5217
US

IV. Provider business mailing address

2100 MACK BLVD
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 559-320-6528
  • Fax: 559-448-9060
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC180508
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: