Healthcare Provider Details

I. General information

NPI: 1619087343
Provider Name (Legal Business Name): MOHAMMAD ASHRAF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HURLEY PLZ SUITE 209
FLINT MI
48503-5903
US

IV. Provider business mailing address

2 HURLEY PLZ SUITE 209
FLINT MI
48503-5903
US

V. Phone/Fax

Practice location:
  • Phone: 810-257-9714
  • Fax: 810-762-7040
Mailing address:
  • Phone: 810-257-9714
  • Fax: 810-762-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMA034277
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: