Healthcare Provider Details

I. General information

NPI: 1568088615
Provider Name (Legal Business Name): AQSA ASHRAF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date: 01/17/2022
Reactivation Date: 05/24/2023

III. Provider practice location address

800 NE 10TH ST
OKLAHOMA CITY OK
73104-5418
US

IV. Provider business mailing address

800 NE 10TH ST
OKLAHOMA CITY OK
73104-5418
US

V. Phone/Fax

Practice location:
  • Phone: 572-244-0111
  • Fax:
Mailing address:
  • Phone: 572-244-0111
  • 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 TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number41622
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number41622
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: