Provider Demographics
NPI:1083897482
Name:ASHRAF MD PC
Entity Type:Organization
Organization Name:ASHRAF MD PC
Other - Org Name:SUBURBAN HEART INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-277-2290
Mailing Address - Street 1:5711 SARVIS AVE
Mailing Address - Street 2:SUITE#100
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1394
Mailing Address - Country:US
Mailing Address - Phone:301-277-2290
Mailing Address - Fax:301-277-1241
Practice Address - Street 1:5711 SARVIS AVE
Practice Address - Street 2:SUITE#100
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1394
Practice Address - Country:US
Practice Address - Phone:301-277-2290
Practice Address - Fax:301-277-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD699538100Medicaid
MD0644197OtherCIGNA
MDKAZ3ASOtherCAREFIRST BCBS
DCS408OtherCAREFIRST BCBS
DCG00792Medicare PIN
MD699538100Medicaid