Provider Demographics
NPI:1114620218
Name:ASHOUR, MANAR FALAH (MD)
Entity Type:Individual
Prefix:
First Name:MANAR
Middle Name:FALAH
Last Name:ASHOUR
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 1:1337 MERTENSIA RD # B
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:14425-1103
Mailing Address - Country:US
Mailing Address - Phone:585-520-9126
Mailing Address - Fax:
Practice Address - Street 1:1337 MERTENSIA RD # B
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NY
Practice Address - Zip Code:14425-1103
Practice Address - Country:US
Practice Address - Phone:585-520-9126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program