Provider Demographics
NPI:1306825831
Name:ELKERM, ASHRAF F (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:F
Last Name:ELKERM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ASHRAF
Other - Middle Name:F
Other - Last Name:ELKERM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2153 DEPT 40338
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35287-9386
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:370 WEST ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2073
Practice Address - Country:US
Practice Address - Phone:978-537-0771
Practice Address - Fax:978-401-3116
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81917207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTHREE RIVERS
MA3165094Medicaid
784130OtherMVP HEALTH CARE
0402639OtherEVERCARE
042472266OtherONE HEALTH PLAN
AA1200OtherHARVARD PILGRIM HEALTHCAR
1163808OtherFIRST HEALTH
4766351OtherCIGNA HEALTH PLAN
5442476OtherAETNA US HEALTHCARE
J17715OtherBLUE SHIELD HMO BLUE
042472266OtherHEALTHCARE VALUE MANAGEME
36660OtherFALLON COMMUNITY HEALTH P
J17715OtherBLUE CARE ELECT
042472266OtherPRIVATE HEALTHCARE SYTSTE
042472266OtherTRICARE CHAMPUS
J17715OtherBLUE SHIELD INDEMNITY
110225371Medicare ID - Type UnspecifiedRAILROAD
A22377Medicare ID - Type UnspecifiedB
36660OtherFALLON COMMUNITY HEALTH P
MAA22377Medicare ID - Type Unspecified