Provider Demographics
NPI:1235192311
Name:AL-ASHKAR, FEYROUZ T (M D)
Entity Type:Individual
Prefix:
First Name:FEYROUZ
Middle Name:T
Last Name:AL-ASHKAR
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:FEYROUZ
Other - Middle Name:T
Other - Last Name:ALASHKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6801 BRECKSVILLE RD STE 20
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5062
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:800-223-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087346207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00301775OtherMEDICARE RAILROAD
OH2629178Medicaid
OH2629178Medicaid
OHAL7342671Medicare PIN