Healthcare Provider Details

I. General information

NPI: 1144633462
Provider Name (Legal Business Name): SARAH MOUSTAFA ASHRAF MOUSTAFA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 05/07/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7920 ACC BLVD STE 300
RALEIGH NC
27617
US

IV. Provider business mailing address

7920 ACC BLVD STE 300
RALEIGH NC
27617-8744
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5283
  • Fax:
Mailing address:
  • Phone: 919-966-5283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2018-00999
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: