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NPI Code Detail

MEDICARE: HEBA ASHRAF MD

MEDICARE: HEBA ASHRAF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301105963MI
2207RG0100XGastroenterology Physician176034CA

General Provider Information

NPI Number : 1720492267
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEBA ASHRAF MD
Provider Business Mailing Address
First Line : 113 WATERWORKS WAY STE 155
Second Line :
City : IRVINE
State : CA
Zip : 92618-3163
Country : US
Telephone Number : 949-619-9090
Fax Number : 949-612-9091
Provider Business Practice Location Address
First Line : 113 WATERWORKS WAY STE 155
Second Line :
City : IRVINE
State : CA
Zip : 92618-3163
Country : US
Telephone Number : 949-258-7229
Fax Number : 949-612-9091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2014
Last Update Date : 06/16/2022

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