Provider Demographics
NPI:1518502087
Name:ISHRAF CORPORATION
Entity Type:Organization
Organization Name:ISHRAF CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:SAMEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-413-0780
Mailing Address - Street 1:5720 STONERIDGE MALL RD STE 288
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2830
Mailing Address - Country:US
Mailing Address - Phone:925-413-0789
Mailing Address - Fax:925-897-5198
Practice Address - Street 1:5720 STONERIDGE MALL RD STE 288
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2830
Practice Address - Country:US
Practice Address - Phone:877-470-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology