Provider Demographics
NPI:1407956279
Name:ASHRAF, M. FAROOQ (MD)
Entity Type:Individual
Prefix:DR
First Name:M. FAROOQ
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11459 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-3515
Mailing Address - Country:US
Mailing Address - Phone:770-622-2488
Mailing Address - Fax:770-495-7789
Practice Address - Street 1:11459 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-3515
Practice Address - Country:US
Practice Address - Phone:770-622-2488
Practice Address - Fax:770-495-7789
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA48590207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG09844Medicare UPIN