Provider Demographics
NPI:1033788278
Name:PANJWANI, ASHRAF PARVEZ
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:PARVEZ
Last Name:PANJWANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 SAUNDERS ST APT A14
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1046
Mailing Address - Country:US
Mailing Address - Phone:718-593-9539
Mailing Address - Fax:
Practice Address - Street 1:6140 SAUNDERS ST APT A14
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1046
Practice Address - Country:US
Practice Address - Phone:718-593-9539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11374-1046163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult