Healthcare Provider Details

I. General information

NPI: 1952096109
Provider Name (Legal Business Name): BESHOY ASHRAF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BESHOY ASHRAF MD

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 2ND ST E
BRADENTON FL
34208-1000
US

IV. Provider business mailing address

206 2ND ST E
BRADENTON FL
34208-1042
US

V. Phone/Fax

Practice location:
  • Phone: 941-746-5111
  • Fax:
Mailing address:
  • Phone: 917-370-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME181177
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: