MEDICARE: DR. SALMAN ASHFAQ 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
1	207R00000X	Internal Medicine Physician	30137	KS
2	207RC0000X	Cardiovascular Disease Physician	047878	GA
3	207RI0011X	Interventional Cardiology Physician	047878	GA
4	207RC0000X	Cardiovascular Disease Physician	30137	KS
5	207RI0011X	Interventional Cardiology Physician	30137	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00305794	OTHER	KS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	104251	OTHER	KS	BCBS

General Provider Information

NPI Number	:	1912985052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALMAN ASHFAQ MD

Provider Business Mailing Address
First Line	:	PO BOX 908240
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-0919
Country	:	US
Telephone Number	:	678-430-3110
Fax Number	:	678-928-5955

Provider Business Practice Location Address
First Line	:	1475 JESSE JEWELL PKWY NE STE 300
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3806
Country	:	US
Telephone Number	:	678-430-3110
Fax Number	:	678-928-5955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	02/25/2021

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Directions to “ DR. SALMAN ASHFAQ MD” Practice Location

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