Provider Demographics
NPI:1558548503
Name:ASHRAFI, AMIR H (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:H
Last Name:ASHRAFI
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 1:1408 ROCK SPRINGS CIR NE # 4-1312
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2244
Mailing Address - Country:US
Mailing Address - Phone:801-230-4809
Mailing Address - Fax:
Practice Address - Street 1:1408 ROCK SPRINGS CIRCLE
Practice Address - Street 2:4-1312
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306
Practice Address - Country:US
Practice Address - Phone:801-230-4809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1367208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics