Provider Demographics
NPI:1558040162
Name:ALASHRAM, RAYA ZAID YOUSEF (MD)
Entity Type:Individual
Prefix:
First Name:RAYA
Middle Name:ZAID YOUSEF
Last Name:ALASHRAM
Suffix:
Gender:F
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:DEPT OF INTERNAL MEDICINE, MAIL CODE : 17
Mailing Address - Street 2:43 NEW SCOTLAND AVENUE
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-262-5377
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF INTERNAL MEDICINE, MAIL CODE : 17
Practice Address - Street 2:43 NEW SCOTLAND AVENUE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-262-5377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
64720390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program