Provider Demographics
NPI:1508088063
Name:ASHAI, SHAUKAT AZIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAUKAT
Middle Name:AZIZ
Last Name:ASHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11670 LOG JUMP TRL
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1500
Mailing Address - Country:US
Mailing Address - Phone:410-730-5943
Mailing Address - Fax:
Practice Address - Street 1:11670 LOG JUMP TRL
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-1500
Practice Address - Country:US
Practice Address - Phone:410-730-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017664207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology