Healthcare Provider Details

I. General information

NPI: 1962317107
Provider Name (Legal Business Name): DR. ASHRAF S DUZAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8963 KIRKLEY VIEW CT
CHARLOTTE NC
28277-5715
US

IV. Provider business mailing address

8963 KIRKLEY VIEW CT
CHARLOTTE NC
28277-5715
US

V. Phone/Fax

Practice location:
  • Phone: 704-612-9973
  • Fax: 440-454-0903
Mailing address:
  • Phone: 704-612-9973
  • Fax: 440-454-0903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number01545
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: