Provider Demographics
NPI:1003857038
Name:ASHAI, RIFFAT SHAFQET (MD)
Entity Type:Individual
Prefix:
First Name:RIFFAT
Middle Name:SHAFQET
Last Name:ASHAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7516
Mailing Address - Country:US
Mailing Address - Phone:410-823-6408
Mailing Address - Fax:443-279-0537
Practice Address - Street 1:7130 MINSTREL WAY
Practice Address - Street 2:SUITE 212
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5201
Practice Address - Country:US
Practice Address - Phone:410-290-6940
Practice Address - Fax:410-290-9763
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00315602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1S0N120GOtherMBMD
253526OtherCOMP
003059OtherVAL
705BPSOtherBSMD
1003542OtherCIGN
K45ZOtherBSDC
150NOtherMBMD
52793709OtherBSMD
220925OtherKAIS
2512798OtherUNHC
0024OtherBSDC
252450OtherCOMP
360218OtherMHN
5100382OtherMAMS
PVPB117103OtherAPS
1003542OtherCIGN
150N120GMedicare ID - Type Unspecified