MEDICARE: MOHAMMAD B ASHRAF M.D.

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	73697-20	WI
2	207RP1001X	Pulmonary Disease Physician	271906	NY
3	207RP1001X	Pulmonary Disease Physician	73697-20	WI
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	73697-20	WI

General Provider Information

NPI Number	:	1922238120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD B ASHRAF M.D.

Provider Business Mailing Address
First Line	:	17 LANSING ST
Second Line	:
City	:	AUBURN
State	:	NY
Zip	:	13021-1983
Country	:	US
Telephone Number	:	315-567-0455
Fax Number	:	315-253-1795

Provider Business Practice Location Address
First Line	:	77 NELSON ST
Second Line	:	SUITE #240
City	:	AUBURN
State	:	NY
Zip	:	13021-1944
Country	:	US
Telephone Number	:	315-252-8838
Fax Number	:	315-252-8843

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

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	03/05/2026

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