Provider Demographics
NPI:1255489027
Name:MEELU, M ASHRAF (MD)
Entity Type:Individual
Prefix:
First Name:M ASHRAF
Middle Name:
Last Name:MEELU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M ASHRAF
Other - Middle Name:
Other - Last Name:MEELU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3261 OLD WASHINGTON ROAD
Mailing Address - Street 2:SUITE 1030
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602
Mailing Address - Country:US
Mailing Address - Phone:301-638-1007
Mailing Address - Fax:301-638-1009
Practice Address - Street 1:3261 OLD WASHINGTON ROAD
Practice Address - Street 2:SUITE 1030
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602
Practice Address - Country:US
Practice Address - Phone:301-638-1007
Practice Address - Fax:301-638-1009
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD46246207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD806203000Medicaid
MDB966OtherBCBS
MD159741800Medicaid
MDB966OtherBCBS