Provider Demographics
NPI:1518273986
Name:REYAD, ASHRAF IBRAHIM (MBBCH)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:IBRAHIM
Last Name:REYAD
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 9TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3916
Mailing Address - Country:US
Mailing Address - Phone:817-334-0196
Mailing Address - Fax:833-978-1159
Practice Address - Street 1:909 9TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3916
Practice Address - Country:US
Practice Address - Phone:817-334-0196
Practice Address - Fax:833-978-1159
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNOT KNOWN208600000X
TXR5193204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery